Organization
HARRISON-KULBACK EYECARE
Active
Parent organization
KULBACK EYECARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KULBACK EYECARE INC
Authorized official
KENNETH JOSEPH KULBACK DC (PRESIDENT)
(814) 266-6888
Entity
Organization
Contact information
Practice address
1110 SCALP AVENUE, JOHNSTOWN, PA 15904-3037
(814) 266-6888
(814) 262-0267
Mailing address
1110 SCALP AVENUE, JOHNSTOWN, PA 15904-3037
(814) 266-6888
(814) 262-0267
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007853P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015774560007
—
PA
05
—
0015774560008
—
PA
01
—
1780768515
INDIVAL NPI NUMBER
PA
01
—
910853
EYE MED
PA
01
—
HA1886072
BLUE CROSS ID NUMBER
PA
Enumeration date
11/06/2007
Last updated
06/14/2023
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