Organization
COFFEE BEAN CAFE, LTD.
Active
Other names
The Eyeglass Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONROE D. PERSONETT (PRESIDENT)
(724) 593-1900
Entity
Organization
Contact information
Practice address
3804 STATE ROUTE 30, LATROBE, PA 15650-5256
(724) 539-1900
(724) 532-1464
Mailing address
3804 STATE ROUTE 30, LATROBE, PA 15650-5256
(724) 539-1900
(724) 532-1464
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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