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Stacy J Conway, OD

Optometrist in Wilkes Barre, PA. Individual provider (NPI-1).

NPI number1376543991
StatusActive
Last updated in NPPESJul 29, 2020

Details

NPI
1376543991
Entity type
Individual (NPI-1)
Name
Stacy J Conway
Credential
OD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2005
Certification date
Jul 29, 2020
Last updated
Jul 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOEG001254PAYes

Practice location

675 Baltimore Dr
Wilkes Barre, PA 18702-7900

Phone 570-808-5441 · Fax 570-808-5371

Mailing address

100 N Academy Ave
Danville, PA 17822-9800

Phone 570-808-5441 · Fax 570-808-5371

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