Organization
OPTICAL NEI INC
Active
Other names
Town & Country Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J CARROLL (CHIEF FINANCIAL OFFICER)
(570) 342-3145
Entity
Organization
Contact information
Practice address
503 S STATE ST, CLARKS SUMMIT, PA 18411-1557
(570) 587-5186
(570) 586-7973
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
(570) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018
GEISINGER
PA
01
—
24783
GEISINGER VENDOR
PA
01
—
26393
SPECTERA
—
01
—
287175
FEDERAL BS
PA
01
—
51611
DAVIS
—
01
—
OP1837
EYEMED
—
01
—
PA14236
VBA
—
01
—
PA18503
BS MICHIGAN
—
Enumeration date
08/21/2006
Last updated
12/27/2017
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