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Contact Information

ANTHONY J. MANCUSO, OD, LLC
155 E MARKET ST
SUITE 2
BLAIRSVILLE, PA15717-1357
 Phone: 724-459-6610
 Fax: 724-459-6630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANTHONY J MANCUSO OD LLC · (Female)

NPI # 1104882208
Status Active
Credentials
Entity Individual
Enumeration date 04/26/2006
Last updated 01/13/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # OEG000818
  • PA Other DF2054 RAILROAD MEDICARE
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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