Organization
ENDLESS MOUNTAINS EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI L ROOK (OWNER)
(570) 673-8390
Entity
Organization
Contact information
Practice address
327 SPRINGBROOK DR, CANTON, PA 17724-7896
(570) 673-8390
(570) 673-4606
Mailing address
327 SPRINGBROOK DR, CANTON, PA 17724-7896
(570) 673-8390
(570) 673-4606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-000540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019750970005
—
PA
Enumeration date
11/10/2010
Last updated
06/12/2012
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