Organization
LATROBE OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C VITTONE MD (PRESIDENT)
(724) 539-1670
Entity
Organization
Contact information
Practice address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-1670
(724) 539-1654
Mailing address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-1670
(724) 539-1654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000001382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005840900001
—
PA
Enumeration date
06/29/2006
Last updated
11/30/2007
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