Organization
BEAVER EYEWEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E. BEAVER (OPTICIAN/OWNER)
(570) 322-1220
Entity
Organization
Contact information
Practice address
1705 WARREN AVE, WILLIAMSPORT, PA 17701-2647
(570) 322-1220
(570) 322-3454
Mailing address
1705 WARREN AVE, WILLIAMSPORT, PA 17701-2647
(570) 322-1220
(570) 322-3454
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NOT APPLICABLE
PA
Other
Enumeration date
11/01/2006
Last updated
02/17/2010
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