Individual
DR. JILL DIANE CUTHBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1344 W 38TH ST, ERIE, PA 16508-2462
(814) 868-0895
(814) 868-0896
Mailing address
1344 W 38TH ST, ERIE, PA 16508-2462
(814) 868-0895
(814) 868-0896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001531
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019618410001
—
PA
01
—
396826
NVA
PA
01
—
44402
DAVIS
PA
Enumeration date
12/04/2006
Last updated
08/06/2014
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