Organization
SCHROECK OPTICAL FASHIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J SCHROECK (PRESIDENT/OWNER)
81482643039
Entity
Organization
Contact information
Practice address
3424 PEACH ST, ERIE, PA 16508-2740
(814) 864-3039
(814) 864-3030
Mailing address
3424 PEACH ST, ERIE, PA 16508-2740
(814) 864-3039
(814) 864-3030
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC285340
BLUE CROSS BLUE SHIELD
PA
Enumeration date
04/04/2006
Last updated
08/22/2020
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