Organization
LACKAWANNA EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RAYMOND MONTAGUE OD (OWNER)
(860) 371-5662
Entity
Organization
Contact information
Practice address
900 COMMERCE BLVD, DICKSON CITY, PA 18519
(570) 383-3373
Mailing address
RD 1 CRAIG ROAD BOX 307, DALTON, PA 18414
(860) 371-5662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001862
PA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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