Organization
DAN SODERBERG OD LLC
Active
Other names
Grove City Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL THOMAS SODERBERG O.D. (OPTOMETRIST)
(724) 458-8533
Entity
Organization
Contact information
Practice address
808 W MAIN ST, GROVE CITY, PA 16127-1114
(724) 458-8533
(724) 458-0911
Mailing address
808 W MAIN ST, GROVE CITY, PA 16127-1114
(724) 458-8533
(724) 458-0911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002472
PA
Other
Enumeration date
10/17/2011
Last updated
08/29/2013
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