Organization
EYEWAY6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD OWEN WAY JR. OD (MEMBER)
(814) 269-2157
Entity
Organization
Contact information
Practice address
150 TOWN CENTRE DR, JOHNSTOWN, PA 15904-2858
(814) 269-3937
(815) 266-5431
Mailing address
128 LAYTON LN, JOHNSTOWN, PA 15904-4018
(814) 269-2157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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