Organization
ELLIS OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L KNAPPENBERGER ABOC (PRESIDENT OWNER)
(610) 866-8972
Entity
Organization
Contact information
Practice address
1444 LINDEN ST, BETHLEHEM, PA 18018-2600
(610) 866-8972
(610) 865-2466
Mailing address
1444 LINDEN ST, BETHLEHEM, PA 18018-2600
(610) 866-8972
(610) 865-2466
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6000005530DEVICES
PA
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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