Organization
WEST PENN OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL CAPPARA (GEN. MANAGER)
(814) 833-1194
Entity
Organization
Contact information
Practice address
2576 WEST 8TH ST, ERIE, PA 16505
(814) 833-1194
(814) 838-9530
Mailing address
2576 WEST 8TH ST, ERIE, PA 16505
(814) 833-1194
(814) 838-9530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53180
DAVIS VISION
PA
01
—
WE1350395
BLUE CROSS BLUE SHIELD
PA
Enumeration date
01/03/2007
Last updated
02/20/2012
Update your record
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