Individual
SUSAN JEAN GODZAC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
229 MAIN ST W, GIRARD, PA 16417-1615
(814) 774-2017
(814) 774-8558
Mailing address
229 MAIN ST W, GIRARD, PA 16417-1615
(814) 774-2017
(814) 774-8558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE005361T
PA
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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