Organization
OTTAVIANI OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN OTTAVIANI O.D. (OWNER)
(570) 265-6816
Entity
Organization
Contact information
Practice address
1932 GOLDEN MILE RD, WYSOX, PA 18854
(570) 265-6816
Mailing address
PO BOX 505, WYALUSING, PA 18853
(570) 265-6816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002537
PA
Other
Enumeration date
06/01/2012
Last updated
05/13/2013
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