Organization
SOUTHWESTERN EYE CENTERS, LLC
Active
Other names
ADVANCED EYE CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P ALAN OD (PRESIDENT/OWNER)
(724) 583-7793
Entity
Organization
Contact information
Practice address
203 N REDWOOD ST, MASONTOWN, PA 15461-1668
(724) 583-7793
(724) 583-9515
Mailing address
203 N REDWOOD ST, MASONTOWN, PA 15461-1668
(724) 583-7793
(724) 583-9515
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008720030001
—
PA
Enumeration date
12/02/2013
Last updated
12/02/2013
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