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NPI Code Detail

MEDICARE: MS VISION CARE, LLC

MEDICARE: MS VISION CARE, LLC
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
1152W00000XOptometristOEG002899PA

General Provider Information

NPI Number : 1467800839
Entity Type Code : Organization
Provider Name (Legal Business Name) : MS VISION CARE, LLC
Provider Business Mailing Address
First Line : 1717 ROUTE 228
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5312
Country : US
Telephone Number : 724-778-9010
Fax Number : 724-778-9012
Provider Business Practice Location Address
First Line : 1717 ROUTE 228
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5312
Country : US
Telephone Number : 724-778-9010
Fax Number : 724-778-9012
Authorized Official
Title or Position : DOCTOR OF OPTOMETRY
Name : MATTHEW SHIRLEY
Credential : D.O.
Telephone Number : 724-859-3378
Provider Enumeration Date : 05/26/2016
Last Update Date : 05/26/2016

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Directions to “MS VISION CARE, LLC ” Practice Location

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