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Individual

DR. ANTOINETTE L BOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
134 W MAIN ST, SOMERSET, PA 15501
(814) 445-6395
(814) 444-1292
Mailing address
PO BOX 942, SOMERSET, PA 15501
(814) 445-6395
(814) 444-1292

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000984
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005422145
AETNA
01
129484
MEDICAREB
PA
01
129484
MEDICAREB
01
138233
EYEMED
01
251621027
PEBTF
01
392155
NVA
01
399390
COMBINED INS CO OF AMERIC
01
410009029
PALMETTO GBA
01
53407
DAVIS
01
6221T
VBA
01
91053360936
APWU
01
AB129484
SPECTERA
01
BO129484
CLARITY
01
C000129484
UNITED AMERICAN INS CO
01
VSP251621027
VSP
Enumeration date
04/26/2007
Last updated
09/10/2010
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