Formica Optical
NPI #1083603385 in Somerset, Pennsylvania
Provider Information
- NPI Number
- 1083603385
- Entity Type
- Organization
- Organization Name
- Formica Optical
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 110 REVCO RD
- City
- Somerset
- State
- Pennsylvania
- ZIP Code
- 15501-7726
- Phone
- (814) 443-6508
Authorized Official
- Name
- MR. CHARLES A FORMICA
- Title
- OWNER
- Phone
- (814) 443-6508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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