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Organization

GRIFFITH EYE CENTER PC

Active
Other names
Scott A Griffith Optometry
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN GRIFFITH BS (OFFICE MANAGER)
(814) 734-3589
Entity
Organization

Contact information

Practice address
2640 W 38TH ST, ERIE, PA 16506-4524
(814) 835-8258
(814) 838-0104
Mailing address
2640 W 38TH ST, ERIE, PA 16506-4524
(814) 835-8258
(814) 881-7977

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000560
PA
207W00000X
Ophthalmology Physician
Primary
MD061759L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016006700005
PA
01
1798932
HIGHMARK ASSIGNMENT ACCT
PA
01
997402
PA BLUE SHIELD
PA
Enumeration date
04/12/2007
Last updated
10/12/2012
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