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Organization

OPTOMETRIC CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY P WIGGINS OD (VICE PRESIDENT OF OCI)
(724) 774-7232
Entity
Organization

Contact information

Practice address
102 WAGNER RD, MONACA, PA 15061-2456
(724) 774-7232
(724) 774-1856
Mailing address
102 WAGNER RD, MONACA, PA 15061-2456
(724) 774-7232
(724) 774-1856

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000668
PA
152W00000X
Optometrist
OEG000767
PA
152W00000X
Optometrist
OEG001209
PA
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019390180002
PA
01
030648
HIGHMARK BCBS
PA
01
137838
ADVANTRA HEALTH AMERICA
PW
01
1392079
HIGHMARK BCBS MD
PA
01
71433
AETNA
PA
01
PA4436
EYEMED
PA
Enumeration date
03/19/2007
Last updated
06/27/2023
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