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Organization

VISION INNOVATION CENTERS OF PA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL PASCETTA (CFO)
(860) 652-5002
Entity
Organization

Contact information

Practice address
2657 PA ROUTE 940, POCONO SUMMIT, PA 18346-1834
(570) 839-7973
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(410) 571-8733

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
207W00000X
Ophthalmology Physician

Other

Enumeration date
07/28/2021
Last updated
02/27/2026
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