Organization
MICHELE L DOMIANO OD PC
Active
Other names
DOMIANO EYE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE L DOMIANO OD (OPTOMETRIST OWNER)
(570) 451-2020
Entity
Organization
Contact information
Practice address
189 NORTH MAIN STREET, OLD FORGE, PA 18518-1755
(570) 451-2020
(570) 451-3083
Mailing address
189 NORTH MAIN STREET, OLD FORGE, PA 18518-1755
(570) 451-2020
(570) 451-3083
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
MD0417368
PA
152W00000X
Optometrist
OE007704T
PA
152W00000X
Optometrist
Primary
OEG000869
PA
Other
Enumeration date
06/12/2008
Last updated
11/20/2008
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