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NPI Code Detail

MEDICARE: NITTANY EYE ASSOCIATES LTD

MEDICARE: NITTANY EYE ASSOCIATES LTD
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
1152W00000XOptometristOEG000066PA

General Provider Information

NPI Number : 1962782565
Entity Type Code : Organization
Provider Name (Legal Business Name) : NITTANY EYE ASSOCIATES LTD
Provider Business Mailing Address
First Line : 132 ABIGAIL LN
Second Line :
City : PORT MATILDA
State : PA
Zip : 16870-7153
Country : US
Telephone Number : 814-272-9009
Fax Number : 814-272-6504
Provider Business Practice Location Address
First Line : 132 ABIGAIL LN
Second Line :
City : PORT MATILDA
State : PA
Zip : 16870-7153
Country : US
Telephone Number : 814-272-9009
Fax Number : 814-272-6504
Authorized Official
Title or Position : PARTNER
Name : DR. MICHAEL J CYMBOR
Credential : O.D,
Telephone Number : 814-272-9009
Provider Enumeration Date : 08/26/2011
Last Update Date : 05/26/2026

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Directions to “NITTANY EYE ASSOCIATES LTD ” Practice Location

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