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Organization

COLUMBUS LASER VISION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT COLUMBUS (VP)
(570) 824-3500
Entity
Organization

Contact information

Practice address
342 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6708
(570) 824-3500
Mailing address
342 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6708

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG0001371
PA
174400000X
Specialist
MD072154L
PA

Other

Enumeration date
05/28/2009
Last updated
05/28/2009
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