MEDICARE: DR. PHILIP ANTHONY SABETTI O.D.

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
1	152W00000X	Optometrist	OEGOOO963	PA

General Provider Information

NPI Number	:	1669475091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP ANTHONY SABETTI O.D.

Provider Business Mailing Address
First Line	:	3649 RANEE ST
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-3036
Country	:	US
Telephone Number	:	610-258-7318
Fax Number	:	610-759-1899

Provider Business Practice Location Address
First Line	:	163 S GREEN ST
Second Line	:
City	:	NAZARETH
State	:	PA
Zip	:	18064-2014
Country	:	US
Telephone Number	:	610-759-1635
Fax Number	:	610-759-1899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/08/2007

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