Organization
THE FISHIN' BUDDIES INC.
Active
Other names
Crystal Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ALEXANDER NOWIK (MANAGER)
(610) 865-9900
Entity
Organization
Contact information
Practice address
3650 NAZARETH PIKE, BETHLEHEM VILLAGE SHOPPES, BETHLEHEM, PA 18020-1115
(610) 865-9900
(610) 865-3446
Mailing address
3650 NAZARETH PIKE, BETHLEHEM VILLAGE SHOPPES, BETHLEHEM, PA 18020-1115
(610) 865-9900
(610) 865-3446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000927
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070423700002
MA #
PA
Enumeration date
09/20/2006
Last updated
06/14/2008
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