Organization
A. L. MCCONNELL JR. OD & ASSOCIATES
Active
Other names
A. L. McConnell Jr. OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY L MCCONNELL JR. OD (OWNER)
(724) 539-7755
Entity
Organization
Contact information
Practice address
219 DEPOT ST, LATROBE, PA 15650-1802
(724) 539-7755
(724) 539-7725
Mailing address
219 DEPOT ST, LATROBE, PA 15650-1802
(724) 539-7755
(724) 539-7725
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012851010004
—
PA
05
—
0012851010005
—
PA
Enumeration date
05/11/2007
Last updated
08/22/2020
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