Organization
ANTOINETTE L BOTTI OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINETTE L BOTTI OD (OWNER SOLE PROPRIETOR)
(814) 445-6395
Entity
Organization
Contact information
Practice address
134 WEST MAIN ST, SOMERSET, PA 15501
(814) 445-6395
(814) 444-1292
Mailing address
PO BOX 942, SOMERSET, PA 15501-0942
(814) 445-6395
(814) 444-1292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000984
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0615830001
DMERC
—
Enumeration date
02/15/2008
Last updated
02/20/2009
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