Organization
PEDIATRIC OPHTHALMOLOGY & STRABISMUS INC
Active
Organization
PEDIATRIC OPHTHALMOLOGY & STRABISMUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY SPAVELKO (OPERATIONS MANAGER)
(724) 772-3388
Entity
Organization
Contact information
Practice address
124 GRAHAM PARK DR STE 300, CRANBERRY TWP, PA 16066-8328
(724) 772-3388
(724) 772-7021
Mailing address
124 GRAHAM PARK DR STE 300, CRANBERRY TWP, PA 16066-8328
(724) 772-3388
(724) 772-7021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011126920003
—
PA
Enumeration date
07/06/2006
Last updated
03/10/2022
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