Organization
VISION INNOVATION CENTERS OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C SCOTT (OWNER)
(410) 571-7998
Entity
Organization
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 718-0590
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(410) 571-8733
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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