Organization
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PASCETTA (CFO)
(860) 652-5002
Entity
Organization
Contact information
Practice address
703 RUTTER AVE, KINGSTON, PA 18704-4801
(410) 571-8733
Mailing address
703 RUTTER AVE, KINGSTON, PA 18704-4801
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/29/2019
Last updated
04/09/2026
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