Organization
INSTITUTIONAL EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY KAY KANOUR (OPTHALMIC TECH)
(814) 592-4915
Entity
Organization
Contact information
Practice address
41 S 3RD ST, LEWISBURG, PA 17837-1944
(866) 604-2931
(570) 524-2817
Mailing address
2120 HIGHVIEW RD, CLEARFIELD, PA 16830-1105
(814) 592-4915
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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