Organization
LEONARDI GROUP, INC
Active
Other names
Shawnee Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ULISSE LEONARDI (MANAGER/OWNER)
(814) 838-2020
Entity
Organization
Contact information
Practice address
2203 W 38TH ST, ERIE, PA 16506-4501
(814) 838-2020
Mailing address
5252 ABINGTON WAY, ERIE, PA 16506-4646
(814) 833-4077
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6000006388
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018578370001
—
PA
Enumeration date
09/20/2006
Last updated
08/01/2016
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