Healthcare Provider Details

I. General information

NPI: 1316347941
Provider Name (Legal Business Name): MASTRINE EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FRONT ST
CRESSON PA
16630-1114
US

IV. Provider business mailing address

701 FRONT ST
CRESSON PA
16630-1114
US

V. Phone/Fax

Practice location:
  • Phone: 814-886-8393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY MARIE MASTRINE
Title or Position: OWNER OPTOMETRIST
Credential: OD
Phone: 814-886-8393