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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

NPI Number 1104882208
LBN Legal business name ANTHONY J. MANCUSO, OD, LLC
Authorized official MARTINA MANCUSO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2006
Last updated 01/13/2015 - About 11 years ago
Identifiers
PA License # OEG000818
PA Other DF2054 RAILROAD MEDICARE
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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