Healthcare Provider Details

I. General information

NPI: 1699685586
Provider Name (Legal Business Name): SAINTLUCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 WALNUT ST STE 101
JOHNSTOWN PA
15901-2930
US

IV. Provider business mailing address

244 WALNUT ST STE 101
JOHNSTOWN PA
15901-2930
US

V. Phone/Fax

Practice location:
  • Phone: 814-961-2058
  • Fax: 814-961-2058
Mailing address:
  • Phone: 814-961-2058
  • Fax: 814-961-2058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOEL BEZEK
Title or Position: OWNER
Credential:
Phone: 814-525-5807