Organization
CENTRAL PENN VISION ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE FOZARD O.D. (DOCTOR)
(814) 342-4611
Entity
Organization
Contact information
Practice address
233 N FRONT ST, SUITE A, PHILIPSBURG, PA 16866-1669
(814) 342-4611
(814) 342-5840
Mailing address
233 N FRONT ST, SUITE A, PHILIPSBURG, PA 16866-1669
(814) 342-4611
(814) 342-5840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000861
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533684
—
PA
01
—
DC3566
MEDICARE RAILROAD
PA
Enumeration date
03/19/2007
Last updated
05/14/2013
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