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Contact Information

VISION MAX
247 BROAD STREET
MONTOURSVILLE, PA17754
 Phone: 570-329-0188
 Fax: 570-329-0190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for VISION MAX · (Female)

NPI # 1174709604
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2008
Last updated 08/04/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # OET-08726-T
  • PA Other ST-342569 CLARITY VISION
  • PA Other 52363 DAVIS VISION
  • PA Other PA-6839 EYE MED
  • PA Other 393860 NVA
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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