Individual
DR. SHAELAN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 COMMUNITY DR, SUITE 204A, TOBYHANNA, PA 18466-8985
(570) 895-4550
(570) 895-4461
Mailing address
300 PLAZA CT, SUITE A, EAST STROUDSBURG, PA 18301-8260
(570) 421-8842
(570) 476-5842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002244
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023389000001
—
PA
Enumeration date
07/29/2009
Last updated
09/12/2013
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