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Organization

CENTER FOR VISION LOSS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE A. HOUCK (ADMINISTRATIVE ASSISTANT)
(610) 433-6018
Entity
Organization

Contact information

Practice address
4215 MANOR DRIVE, STROUDSBURG, PA 18360
(570) 992-7787
(570) 992-7772
Mailing address
4215 MANOR DRIVE, STROUDSBURG, PA 18360
(570) 992-7787
(570) 992-7772

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
PA

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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