Organization
CUSSATT OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CUSSATT (OWNER)
(570) 455-1100
Entity
Organization
Contact information
Practice address
601 N BROAD ST, WEST HAZLETON, PA 18202-1551
(570) 455-1100
(570) 455-1101
Mailing address
601 N BROAD ST, WEST HAZLETON, PA 18202-1551
(570) 455-1100
(570) 455-1101
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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