Healthcare Provider Details
I. General information
NPI: 1962425140
Provider Name (Legal Business Name): ARMSTRONG EYE CARE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
159 BUTLER RD STE 2
KITTANNING PA
16201-2328
US
IV. Provider business mailing address
159 BUTLER RD STE 2
KITTANNING PA
16201-2328
US
V. Phone/Fax
- Phone: 724-545-6688
- Fax: 724-545-6630
- Phone: 724-545-6688
- Fax: 724-545-6630
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | OEG000755 |
| License Number State | PA |
VIII. Authorized Official
Name:
PAUL
J
LOBBY
Title or Position: OWNER
Credential: OD
Phone: 724-545-6688