Organization
SENECA EYE SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WRIGHT (PRACTICE ADMINISTRATOR)
(716) 483-2020
Entity
Organization
Contact information
Practice address
2 MAIN ST, BRADFORD, PA 16701-2035
(814) 362-7477
Mailing address
2 MAIN ST, BRADFORD, PA 16701-2035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000707396
—
PA
Enumeration date
12/01/2006
Last updated
09/18/2007
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