Organization
JUDITH A WENTZEL
Active
Other names
Mon Valley Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH A ZEWE OPTICIAN (OPTICIAN OWNER)
(724) 258-3773
Entity
Organization
Contact information
Practice address
120 MAIN STREET, NEW EAGLE, PA 15067
(724) 258-3773
(724) 258-4805
Mailing address
120 MAIN STREET PO BOX 430, NEW EAGLE, PA 15067
(724) 258-3773
(724) 258-4805
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01741893
—
PA
01
—
14872
SPECTERA
—
01
—
49647
DAVIS VISION
—
Enumeration date
10/11/2006
Last updated
06/17/2008
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