Organization
LAUREL EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS D NICHAMIN M.D. (MANAGING PARTNER)
(814) 849-8344
Entity
Organization
Contact information
Practice address
176 VISION DRIVE, DUNCANSVILLE, PA 16635
(814) 949-8808
(814) 949-9118
Mailing address
176 VISION DRIVE, DUNCANSVILLE, PA 16635
(814) 949-8808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF3515
RAILROAD MEDICARE GROUP #
—
Enumeration date
03/29/2007
Last updated
06/06/2008
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