West Penn Advance Vision Care & Optical LLC
Optometrist in Erie, PA. Organization (NPI-2).
NPI number1568898690
StatusActive
Last updated in NPPESSep 20, 2013
Details
- NPI
- 1568898690
- Entity type
- Organization (NPI-2)
- Legal business name
- West Penn Advance Vision Care & Optical LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2013
- Last updated
- Sep 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG000497 | PA | Yes |
Practice location
2576 W 8th StErie, PA 16505-4416
Phone 814-833-1194 · Fax 814-838-9530
Mailing address
2576 W 8th StErie, PA 16505-4416
Phone 814-833-1194 · Fax 814-838-9530
Authorized official
Renee Peterson
Optometrist/Owner
8148331194
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