Organization
CPMOPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MORGAN (OPTOMETRIST)
(570) 895-4791
Entity
Organization
Contact information
Practice address
WALMART VISION, 3271 PA 940, MT POCONO, PA 17325
(570) 895-4791
(570) 895-4793
Mailing address
WALMART VISION, 3271 ROUTE 940, MT POCONO, PA 18344
(570) 895-4791
(570) 895-4793
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11729544
CAHQ
WY
Enumeration date
10/17/2018
Last updated
03/14/2019
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