NPI Provider: 1154460095
Contact Name: Matscherz L Rebecca
Position: President
Phone: (724) 940-0150
The Eyecare Boutique Information:
The Eyecare Boutique organization have npi 1154460095, taxonomy code is 152W00000X with license number is OEG001094 in . This Business address located in 11279 Perry Hwy, Wexford, PA 15090 Pennsylvania.
Practice Location
Address: 11279 Perry Hwy, Wexford, PA 15090
Phone: (724) 940-0150
Business Location
Address: 11279 Perry Hwy, Wexford, PA 15090
Phone: (724) 940-0150
Fax: (724) 940-0244
Taxonomy
Taxonomy Code: 152W00000X
License Number: OEG001094
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 2/6/2007
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