Organization
EVERETT EYE CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA SUZANNE STONE OD (OWNER/OPTOMETRIST)
(814) 652-6221
Entity
Organization
Contact information
Practice address
33 E MAIN ST, EVERETT, PA 15537-1257
(814) 652-6221
(814) 652-9143
Mailing address
33 E MAIN ST, EVERETT, PA 15537-1257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103377027001
—
PA
Enumeration date
01/02/2019
Last updated
03/06/2025
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