Organization
TRICE PROFESSIONAL OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DWAINE BERGER (OWNER OPTICIAN)
(724) 836-2190
Entity
Organization
Contact information
Practice address
35 N MAIN ST, GREENSBURG, PA 15601-2401
(724) 836-2190
(724) 836-2127
Mailing address
PO BOX 543, 35 N MAIN STREET, GREENSBURG, PA 15601-0543
(724) 836-2190
(724) 836-2127
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6000001146
PA
Other
Enumeration date
07/11/2008
Last updated
08/07/2008
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