Organization
MOSHANNON VALLEY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH SHEDLOCK OD (OWNER)
(814) 378-7700
Entity
Organization
Contact information
Practice address
612 CLARA ST, SUITE 1, HOUTZDALE, PA 16651-1115
(814) 378-7700
(814) 378-7704
Mailing address
612 CLARA ST, SUITE 1, HOUTZDALE, PA 16651-1115
(814) 378-7700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG-002053
PA
152W00000X
Optometrist
Primary
OEG-002084
PA
Other
Enumeration date
01/21/2012
Last updated
08/17/2012
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