Organization
CUSTOM EYES RX INC
Active
Other names
Fashion Lens Lab & Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TODD LIEGNER MD (MEDICAL DIRECTOR)
(973) 729-5757
Entity
Organization
Contact information
Practice address
111 HULST DR STE 706, KMART WESTFALL SHOPPING CENTER, MATAMORAS, PA 18336-2115
(570) 491-5454
(570) 491-2895
Mailing address
111 HULST DR STE 706, KMART WESTFALL SHOPPING CENTER, MATAMORAS, PA 18336-2115
(570) 491-5454
(570) 491-2895
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
06/23/2008
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