Organization
INTEGRATED VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS VILLELLA OD (OWNER)
(814) 823-4486
Entity
Organization
Contact information
Practice address
431 SHAWNEE DR, ERIE, PA 16505-2433
(814) 823-4486
(814) 454-7484
Mailing address
431 SHAWNEE DR, ERIE, PA 16505-2433
(814) 823-4486
(814) 454-7484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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