Individual
DR. JOHN JOSEPH HUTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
110 MAIN STREET, BENTON, PA 17814-0275
(570) 925-6111
Mailing address
PO BOX 275, BENTON, PA 17814-0275
(570) 925-6111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002454
MO
152W00000X
Optometrist
Primary
0E005651P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12032
SPECTERA INC
—
01
—
396626
NATIONAL VISION ADMINISTR
—
01
—
HU36741
CLARITY VISION
—
Enumeration date
05/11/2007
Last updated
07/08/2007
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