Organization
BALESTER OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN STANTON (CONTROLLER)
(570) 824-7821
Entity
Organization
Contact information
Practice address
388 N RIVER ST, WILKES BARRE, PA 18702-2504
(570) 824-7821
(570) 829-5312
Mailing address
388 N RIVER ST, WILKES BARRE, PA 18702-2504
(570) 824-7821
(570) 829-5312
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
40254073
PA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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