Organization
C-WELLOPTICAL
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND JOSEPH MISKE JR. OPTICAN (OPTICAN)
(570) 622-0226
Entity
Organization
Contact information
Practice address
109 PIKE ST, PORT CARBON, PA 17965-1814
(570) 622-0226
(570) 622-9277
Mailing address
109 PIKE ST, PORT CARBON, PA 17965-1814
(570) 622-0226
(570) 622-9277
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6000000546
PA
Other
Enumeration date
03/19/2009
Last updated
07/30/2009
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