Organization
COMMUNITY EYE CARE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
2 FARM COLONY DRIVE, WARREN, PA 16365-5206
(814) 726-2303
(404) 305-3199
Mailing address
2 FARM COLONY DRIVE, WARREN, PA 16365-5206
(814) 726-2303
(814) 726-7459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1100X
Ophthalmic Technician/Technologist
MD052930L
PA
156FX1100X
Ophthalmic Technician/Technologist
MD065707L
PA
163WA2000X
Administrator Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
163WX1100X
Ophthalmic Registered Nurse
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548234255
WUEBBOLT NPI
PA
Enumeration date
01/26/2007
Last updated
12/03/2024
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