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Organization

457 OPTICAL, LLC

Active
Other names
457 Optical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOANN B STRAIN O. D. (PRESIDENT)
(412) 257-0155
Entity
Organization

Contact information

Practice address
457 WASHINGTON AVE, BRIDGEVILLE, PA 15017-2370
(412) 257-0155
(412) 220-8643
Mailing address
457 WASHINGTON AVE, BRIDGEVILLE, PA 15017-2370
(412) 257-0155
(412) 220-8643

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001618825
CLARITY VISION
PA
01
A08009796
DMERC-A NSC
PA
Enumeration date
02/21/2007
Last updated
06/11/2008
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