Organization
EYEDOC ASSOCIATES, LLC
Active
Other names
EyeDoc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UFUK FUSUN CARDAKLI M.D. (PRESIDENT/PHYSICIAN)
(814) 943-7777
Entity
Organization
Contact information
Practice address
501 HOWARD AVE STE F3, ALTOONA, PA 16601-4818
(814) 943-7777
(814) 941-2015
Mailing address
501 HOWARD AVE STE F3, ALTOONA, PA 16601-4818
(814) 943-7777
(814) 941-2015
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD050928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022836600001
—
PA
01
—
148237
MEDICARE PTAN
PA
Enumeration date
02/20/2009
Last updated
08/22/2011
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