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C-WELLOPTICAL NPI 1841431970


NPI Information

NPI: 1841431970
Provider Name: C-WELLOPTICAL

Other Name: NA

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
109 PIKE ST
PORT CARBON, PA
ZIP 17965
Phone: (570) 622-0226
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C-WELLOPTICAL is an eyewear supplier in Port Carbon, PA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. C-WELLOPTICAL NPI is 1841431970. The provider is registered as an organization entity type.
The provider Other Name Is Na.

The provider's business location address is:

109 PIKE ST
PORT CARBON, PA
ZIP 17965-814
Phone: (570) 622-0226
Fax: (570) 622-9277

The provider's authorized official is Raymond Joseph Miske .
The authorized official title is Optican and has the following contact phone number (570) 622-0226.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 7/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier6000000546PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10769520001MEDICARE UPINPENNSYLVANIA
20769520001MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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