Individual
DR. MICHAEL THOMAS O'NEILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2 FARM COLONY DR, WARREN, PA 16365-5206
(814) 726-2303
Mailing address
2 FARM COLONY DR, WARREN, PA 16365-5206
(814) 726-2303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04344161
—
NY
05
—
103028204
—
PA
Enumeration date
06/05/2015
Last updated
05/12/2021
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