BEN DOMIANO OPTICAL CENTER LLC; NPI #1992090096

Contact Information

BEN DOMIANO OPTICAL CENTER LLC

817 S MAIN ST
OLD FORGE, PA 18518-1431

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

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NPI Profile & details for BEN DOMIANO OPTICAL CENTER LLC

NPI Number 1992090096

LBN Legal business name BEN DOMIANO OPTICAL CENTER LLC

Authorized official BEN DOMIANO - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/16/2011

Last updated 06/16/2011 - About 15 years ago

Identifiers

PA	License #	30685
PA	License #	OEG000082

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BEN DOMIANO OPTICAL CENTER LLC

Contact Information

Specialty

Optician

Contact Lens

Optometrist

NPI Profile & details for BEN DOMIANO OPTICAL CENTER LLC

Reviews for BEN DOMIANO OPTICAL CENTER LLC