Organization
SIMONTON ICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SIMONTON D.O. (OWNER)
(814) 322-7585
Entity
Organization
Contact information
Practice address
480 SHELBOURNE DR, PITTSBURGH, PA 15239-3614
(814) 322-7585
Mailing address
480 SHELBOURNE DR, PITTSBURGH, PA 15239-3614
(814) 322-7585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000845
PA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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