Organization
ADVANCED EYECARE SOLUTIONS LLC
Active
Other names
Martinelli Eye and Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JEROME MARTINELLI OD (CEO)
(724) 483-3675
Entity
Organization
Contact information
Practice address
303 1ST ST, CHARLEROI, PA 15022-1427
(724) 483-3675
(724) 483-0404
Mailing address
303 1ST ST, CHARLEROI, PA 15022-1427
(724) 483-3675
(724) 483-0404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001792
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00136142
—
PA
01
—
DQ6103
MEDICARE RAILROAD
PA
Enumeration date
11/12/2009
Last updated
12/16/2010
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