Organization
THE EYEGLASS SHOPPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BROWNFIELD O.D. (PRESIDENT)
(724) 539-1900
Entity
Organization
Contact information
Practice address
3887 ROUTE 30, LATROBE, PA 15650-5256
(724) 539-1900
Mailing address
3887 ROUTE 30, LATROBE, PA 15650-5256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001664
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023915400001
—
PA
Enumeration date
01/09/2008
Last updated
06/10/2016
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