Organization
ANTIETAM EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERZY KORNILOW O.D. (OPTOMETRIST)
(240) 217-4266
Entity
Organization
Contact information
Practice address
1051 E MAIN ST, UNIT 7, WAYNESBORO, PA 17268-2318
(717) 387-5657
(717) 387-5638
Mailing address
1051 E MAIN ST, UNIT 7, WAYNESBORO, PA 17268-2318
(717) 387-5657
(717) 387-5638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000994
PA
Other
Enumeration date
07/20/2009
Last updated
03/23/2011
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