Organization
LEONARD D. GERVINSKI, O.D.
Active
Parent organization
LEONARD D. GERVINSKI, O.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEONARD D. GERVINSKI, O.D.
Authorized official
DR. LEONARD DENNIS GERVINSKI O.D. (OWNER)
(724) 335-7331
Entity
Organization
Contact information
Practice address
96 CRAIGDELL ROAD, LOWER BURRELL, PA 15068-2987
(724) 335-7331
(724) 335-1390
Mailing address
96 CRAIGDELL ROAD, LOWER BURRELL, PA 15068-2987
(724) 335-7331
(724) 335-1390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-005204T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000546670
—
PA
Enumeration date
03/15/2010
Last updated
03/15/2010
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