Organization
ZALESKI OPTICAL GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ZALESKI (OWNER)
(570) 296-4891
Entity
Organization
Contact information
Practice address
322 BROAD ST, MILFORD, PA 18337-1345
(570) 296-4891
(570) 296-4892
Mailing address
322 BROAD ST, MILFORD, PA 18337-1345
(570) 296-4891
(570) 296-4892
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZA1816976
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/13/2007
Last updated
10/22/2007
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