Organization
CRANBERRY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER W EBECK OD (PRESIDENT/SOLE MEMBER)
(724) 776-5888
Entity
Organization
Contact information
Practice address
101 SMITH DR STE 3, CRANBERRY TWP, PA 16066-4129
(724) 776-5888
(724) 935-2900
Mailing address
101 SMITH DR STE 3, CRANBERRY TWP, PA 16066-4129
(724) 776-5888
(724) 935-2900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002021
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102497110
—
PA
Enumeration date
06/07/2007
Last updated
11/30/2010
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