Organization
THE OPTICAL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD VANISKY OPTICIAN (OWNER)
(570) 348-0822
Entity
Organization
Contact information
Practice address
1360 WYOMING AVE, SCRANTON, PA 18509-2803
(570) 348-0822
(570) 348-0823
Mailing address
1360 WYOMING AVE, SCRANTON, PA 18509-2803
(570) 348-0822
(570) 348-0823
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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