Balester Optical Company
Durable Medical Equipment & Medical Supplies in Wilkes Barre, PA. Organization (NPI-2).
NPI number1508050600
StatusActive
Last updated in NPPESAug 31, 2007
Details
- NPI
- 1508050600
- Entity type
- Organization (NPI-2)
- Legal business name
- Balester Optical Company
- Organization subpart
- No
- Enumeration date
- Aug 31, 2007
- Last updated
- Aug 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 40254073 | PA | Yes |
Practice location
388 N River StWilkes Barre, PA 18702-2504
Phone 570-824-7821 · Fax 570-829-5312
Mailing address
388 N River StWilkes Barre, PA 18702-2504
Phone 570-824-7821 · Fax 570-829-5312
Authorized official
Brian Stanton
Controller
5708247821
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