Organization
JILL D CUTHBERTSON, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL CUTHBERTSON OD (PRESIDENT)
(814) 459-5128
Entity
Organization
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
332H00000X
Eyewear Supplier
Primary
OEG001531
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019618410001
—
PA
Enumeration date
07/06/2014
Last updated
07/06/2014
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