Organization
JCMOD LLC
Active
Other names
John C. Molnar, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MOLNAR OD (PRESIDENT)
(724) 290-1197
Entity
Organization
Contact information
Practice address
400 BUTLER CMNS, BUTLER, PA 16001-2496
(724) 282-4054
Mailing address
11037 EDGEVIEW DR, CONNEAUT LAKE, PA 16316-3513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01746380
—
PA
Enumeration date
12/16/2018
Last updated
12/16/2018
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