Organization
GARDNER OPTICAL
Active
Other names
Gardner Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARDNER (OWNER)
(814) 437-1315
Entity
Organization
Contact information
Practice address
306 13TH ST, FRANKLIN, PA 16323-1335
(814) 437-1315
Mailing address
306 13TH ST, PO BOX 289, FRANKLIN, PA 16323-1335
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008872940001
—
PA
01
—
0017324
DORAL
PA
01
—
218156
UPMC
PA
01
—
393779
NVA
PA
01
—
GA0288639
BLUE CROSS BLUE SHIELD
PA
01
—
OP0674
EYE-MED
PA
Enumeration date
12/21/2007
Last updated
04/01/2008
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