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NPI Code Detail

MEDICARE: LAUREL EYE CLINIC

MEDICARE: LAUREL EYE CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235120072
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUREL EYE CLINIC
Provider Business Mailing Address
First Line : 50 WATERFORD PIKE
Second Line :
City : BROOKVILLE
State : PA
Zip : 15825-2518
Country : US
Telephone Number : 814-849-8344
Fax Number : 814-849-7130
Provider Business Practice Location Address
First Line : 50 WATERFORD PIKE
Second Line :
City : BROOKVILLE
State : PA
Zip : 15825-2518
Country : US
Telephone Number : 814-849-8344
Fax Number : 814-849-7130
Authorized Official
Title or Position : MANAGING PARTNER
Name : LOUIS D NICHAMIN
Credential : M.D.
Telephone Number : 814-849-8344
Provider Enumeration Date : 11/01/2005
Last Update Date : 06/02/2009

Similar Medicare Providers

1396747523 — DR. JEFFREY L BEZIER MD
Practice Location Address:
50 WATERFORD PIKE
BROOKVILLE, PA
15825-2518
Practice Phone: 814-849-8344
Practice Fax: 814-849-7130
1821093204 — LAUREL LASER & SURGERY CENTER, L.P.
Practice Location Address:
52 WATERFORD PIKE
BROOKVILLE, PA
15825-2518
Practice Phone: 814-849-0898
Practice Fax: 814-849-2890
1265423958 — LOUIS D NICHAMIN M.D.
Practice Location Address:
50 WATERFORD PIKE
BROOKVILLE, PA
15825-2518
Practice Phone: 814-849-8344
Practice Fax: 814-849-7130
1184615882 — GEORGE S RICKARD O.D.
Practice Location Address:
50 WATERFORD PIKE
BROOKVILLE, PA
15825-2518
Practice Phone: 814-849-8344
Practice Fax: 814-849-7130
1891786596 — DANIEL L AMSLER O.D.
Practice Location Address:
50 WATERFORD PIKE
BROOKVILLE, PA
15825-2518
Practice Phone: 814-849-8344
Practice Fax: 814-849-7130
1588655260 — RICK D ROMBOLD O.D.
Practice Location Address:
50 WATERFORD PIKE
BROOKVILLE, PA
15825-2518
Practice Phone: 814-849-8344
Practice Fax: 814-849-7130

Directions to “LAUREL EYE CLINIC ” Practice Location

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