Organization
OPTICAL NEI INC
Active
Other names
Town & Country Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J CARROLL (CHIEF FINANCIAL OFFICER)
(570) 342-3145
Entity
Organization
Contact information
Practice address
150 BROOKLYN ST, CARBONDALE, PA 18407-2274
(570) 282-7188
(570) 282-4402
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
(570) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0773550016
—
PA
01
—
1018
GEISINGER
PA
01
—
24783
GEISINGER VENDOR
PA
01
—
26395
SPECTERA
—
01
—
287175
65 SPECIAL
PA
01
—
296609
FEDERAL BS
PA
01
—
51663
DAVIS
—
01
—
OP1837
EYEMED
—
01
—
PA18503
BS MICHIGAN
—
01
—
PA34236
VBA
—
Enumeration date
08/21/2006
Last updated
12/27/2017
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