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Contact Information

BEN DOMIANO OPTICAL CENTER LLC
817 S MAIN ST
OLD FORGE, PA18518-1431
 Phone: 570-457-2020
 Fax: 570-457-2787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens

156FC0800X
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BEN DOMIANO OPTICAL CENTER LLC · (Female)

NPI Number 1992090096
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2011
Last updated 06/16/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # 30685
  • PA License # OEG000082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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