Organization
VISION MAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MICHAEL KRINER (OWNER)
(570) 374-8981
Entity
Organization
Contact information
Practice address
1026 N SUSQUEHANNA TRAIL, SELINSGROVE, PA 17870
(570) 374-8981
Mailing address
1026 N SUSQUEHANNA TRAIL, SELINSGROVE, PA 17870
(570) 374-8981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OB008703
PA
152W00000X
Optometrist
OEG000436
PA
156FX1800X
Optician
6000006789
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23082
NVA
PA
01
—
52677
DAVIS VISION
PA
01
—
VI 1811852
CLARITY VISION
PA
Enumeration date
12/06/2006
Last updated
02/22/2008
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