Organization
ADVANCED EYE OF NEPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SACHIN PATEL MD (OWNER)
(570) 604-3276
Entity
Organization
Contact information
Practice address
541 W BACON ST, POTTSVILLE, PA 17901-3917
(570) 580-4084
(570) 580-4842
Mailing address
2 CHATHAM HILL CIR, CLARKS SUMMIT, PA 18411-8795
(570) 604-3276
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD438121
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD438121
PA LICENSE
PA
Enumeration date
06/20/2010
Last updated
10/10/2023
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