Organization
COMPLETE FAMILY VISION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J. HAVRANEK OD (OPTOMETRIST/OWNER)
(724) 843-1870
Entity
Organization
Contact information
Practice address
1315 6TH AVE, BEAVER FALLS, PA 15010-4213
(724) 843-1870
(724) 843-7275
Mailing address
1315 6TH AVE, BEAVER FALLS, PA 15010-4213
(724) 843-1870
(724) 843-7275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119257700001
—
PA
01
—
CA5140
MEDICARE RAILROAD
PA
Enumeration date
09/20/2006
Last updated
11/16/2007
Update your record
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