Organization
ROBERT OTTAVIANI OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARIE OTTAVIANI (OFFICE MGR)
(570) 746-1610
Entity
Organization
Contact information
Practice address
55 MAIN ST, WYALUSING, PA 18853-0307
(570) 746-1610
(570) 746-6218
Mailing address
P.O. BOX 307, WYALUSING, PA 18853-0307
(570) 746-1610
(570) 746-6218
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000822
PA
Other
Enumeration date
05/22/2008
Last updated
10/23/2012
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