Organization
ARTANIA OPTICAL INC
Active
Other names
Sterling Optical #145
Organization subpart
No
Provider details
NPI number
Authorized official
ARTEN PERESTORONIN (OWNER)
(610) 265-3880
Entity
Organization
Contact information
Practice address
160 N GULPH RD, KING OF PRUSSIA, PA 19406-2941
(610) 265-3880
Mailing address
160 N GULPH RD, KING OF PRUSSIA, PA 19406-2941
(610) 265-3880
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11172010
APPLICATION DATE
—
Enumeration date
11/18/2010
Last updated
11/18/2010
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