Individual
DR. ALLISON MARIE BENACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2640 W 38TH ST, ERIE, PA 16506-4524
(814) 835-8258
(814) 838-0104
Mailing address
2640 W 38TH ST, ERIE, PA 16506-4524
(814) 835-8258
(814) 838-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013650360001
—
PA
05
—
1013650360002
—
PA
Enumeration date
07/05/2006
Last updated
05/20/2009
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