Individual
CARLENE ANN SIRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Contact information
Practice address
1850 S TOWNSHIP BLVD, STE 6, PITTSTON, PA 18640
(570) 651-1641
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(570) 288-7405
(570) 288-7406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001828
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017833590001
—
PA
Enumeration date
09/16/2006
Last updated
05/15/2026
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