Organization
VISUAL FX VISION CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JAMES CLOSINSKI (CEO)
(518) 376-6328
Entity
Organization
Contact information
Practice address
7000 PEACH STREET, ERIE, PA 16509
(814) 866-3030
(814) 464-2953
Mailing address
7000 PEACH STREET, ERIE, PA 16509
(814) 866-3030
(814) 464-2953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128618
MEDICARE HIGHMARK MEDICARE SERVICES
PA
Enumeration date
12/27/2007
Last updated
10/15/2008
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