Individual
DR. MAURICE L. EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6531
(570) 271-7146
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001521
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011325230001
—
PA
Enumeration date
02/28/2006
Last updated
09/26/2012
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