Southern Tier Optometric Center INC

NPI #1003896440 in Erie, Pennsylvania

Provider Information

NPI Number: 1003896440
Entity Type: Organization
Organization Name: Southern Tier Optometric Center INC
Primary Specialty: Optometrist
Enumeration Date: Jan 20, 2006
Last Updated: Oct 19, 2010

Practice Location

Address: 147 W 18TH ST
City: Erie
State: Pennsylvania
ZIP Code: 16501-2103
Phone: (814) 454-7138

Authorized Official

Name: MRS. SAM L ROSENSWIE
Title: CORPORATE BUSINESS MANAGER
Phone: (716) 372-9464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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