Organization
PROFESSIONAL EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R. DEMKO O.D. (OWNER)
(570) 992-3933
Entity
Organization
Contact information
Practice address
HC 2 BOX 1702, BRODHEADSVILLE, PA 18322-9732
(570) 992-3933
Mailing address
HC 2 BOX 1702, BRODHEADSVILLE, PA 18322-9732
(570) 992-3933
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000760
PA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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