Organization
LEONARDI GROUP, INC
Active
Other names
Shawnee Optical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT U LEONARDI (PRESIDENT)
(814) 838-2020
Entity
Organization
Contact information
Practice address
2240 E 38TH ST, ERIE, PA 16510-3688
(814) 824-3937
(814) 824-6608
Mailing address
2203 W 38TH ST, ERIE, PA 16506-4501
(814) 838-2020
(814) 838-9216
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018578370001
—
PA
Enumeration date
04/03/2008
Last updated
05/14/2008
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