Organization
NORTHEAST EYE SPECIALISTS PC
Active
Organization
NORTHEAST EYE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J BARNA MD (CEO)
(570) 288-1974
Entity
Organization
Contact information
Practice address
1060 N CHURCH ST, HAZLETON, PA 18202-1444
(570) 459-9927
(570) 459-9923
Mailing address
1060 N CHURCH ST, HAZLETON, PA 18202-1444
(570) 459-9927
(570) 288-0288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
PA
207W00000X
Ophthalmology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016264800007
—
PA
05
—
0016264800010
—
PA
01
—
CM6827
PALMETTO GBA
PA
Enumeration date
07/29/2005
Last updated
07/21/2022
Update your record
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