Organization
VISIONCARE LASER CENTERS OF ERIE
Active
Other names
Schroeck Optical Fashions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THOMAS CANELLA (GENERAL MANAGER)
(814) 454-7088
Entity
Organization
Contact information
Practice address
1909 WEST 8TH STREET, ERIE, PA 16505-4936
(814) 454-7088
(814) 459-5189
Mailing address
1909 WEST 8TH STREET, ERIE, PA 16505-4936
(814) 454-7088
(814) 459-5189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OB007924A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205697
BCBS
PA
Enumeration date
12/01/2006
Last updated
08/22/2020
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