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Organization

WEST PENN ADVANCE VISION CARE & OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE PETERSON OD (OPTOMETRIST/OWNER)
(814) 833-1194
Entity
Organization

Contact information

Practice address
2576 W 8TH ST, ERIE, PA 16505-4416
(814) 833-1194
(814) 838-9530
Mailing address
2576 W 8TH ST, ERIE, PA 16505-4416
(814) 833-1194
(814) 838-9530

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000497
PA

Other

Enumeration date
09/20/2013
Last updated
09/20/2013
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