Organization
CENTRAL VISION EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA LYN UNZICKER-FASSERO O.D. (OWNER/OPTOMETRIST)
(570) 768-4970
Entity
Organization
Contact information
Practice address
23 S ARCH ST, MILTON, PA 17847-1124
(570) 412-1346
Mailing address
416 MARKET ST STE 214, LEWISBURG, PA 17837-1473
(570) 768-4970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102551143
—
PA
Enumeration date
12/07/2018
Last updated
05/10/2019
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