Organization
MICHAEL F. NOVOTNY
Active
Other names
Maranatha Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNY EVANS OPTICIAN (MANAGER)
(814) 834-1308
Entity
Organization
Contact information
Practice address
949 S SAINT MARYS ST, SAINT MARYS, PA 15857-2830
(814) 834-1308
(814) 834-1406
Mailing address
949 S SAINT MARYS ST, SAINT MARYS, PA 15857-2830
(814) 834-1308
(814) 834-1406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/16/2008
Last updated
07/16/2008
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