Organization
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C PASCETTA (CFO)
(860) 652-5002
Entity
Organization
Contact information
Practice address
16749 STATE ROUTE 706 STE 4, MONTROSE, PA 18801-6502
(570) 278-2279
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(410) 571-8733
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
04/09/2026
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