Organization
STATE COLLEGE EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA L. YOUNG O.D. (PRESIDENT/OPTOMETRIST)
(814) 234-6060
Entity
Organization
Contact information
Practice address
611 UNIVERSITY DR, STE 111, STATE COLLEGE, PA 16801-6552
(814) 234-6060
(814) 234-0797
Mailing address
611 UNIVERSITY DR, STE 111, STATE COLLEGE, PA 16801-6552
(814) 234-6060
(814) 234-0797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001959
PA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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