Organization
THE BRANDE SAAD GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JAY CERVINO OD (OPTOMETRIC DOCTOR)
(814) 234-6060
Entity
Organization
Contact information
Practice address
421 E CALDER WAY, STATE COLLEGE, PA 16801-5663
(814) 234-6060
(814) 234-0797
Mailing address
421 E CALDER WAY, STATE COLLEGE, PA 16801-5663
(814) 234-6060
(814) 234-0797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1201X
Optometric Assistant Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072092970002
—
PA
Enumeration date
06/04/2006
Last updated
09/23/2008
Update your record
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