Organization
DIGIOVANNI OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL G DIGIOVANNI (CO-OWNER)
(215) 465-6900
Entity
Organization
Contact information
Practice address
2130 S BROAD ST, PHILADELPHIA, PA 19145-3952
(215) 465-6900
(215) 551-6970
Mailing address
2130 S BROAD ST, PHILADELPHIA, PA 19145-3952
(215) 465-6900
(215) 551-6970
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-01265074
—
PA
Enumeration date
02/14/2007
Last updated
08/22/2020
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