Organization
VISION SOURCE MEADVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L ADSIT O.D. (CHIEF EXECUTIVE OFFICER)
(814) 333-6606
Entity
Organization
Contact information
Practice address
1073 S MAIN ST, MEADVILLE, PA 16335-3129
(814) 333-6606
(814) 333-6616
Mailing address
1073 S MAIN ST, MEADVILLE, PA 16335-3129
(814) 333-6606
(814) 333-6616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000417
PA
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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