Fayette Regional Eyecare INC

NPI #1437249786 in Uniontown, Pennsylvania

Provider Information

NPI Number: 1437249786
Entity Type: Organization
Organization Name: Fayette Regional Eyecare INC
Primary Specialty: Optometrist
Enumeration Date: Oct 14, 2006
Last Updated: Mar 11, 2011

Practice Location

Address: 160 WAYLAND SMITH DRIVE
Address 2: SUITE 100
City: Uniontown
State: Pennsylvania
ZIP Code: 15401
Phone: (724) 437-1300

Authorized Official

Name: DR. JONATHAN EDWARD ROSS, OD
Title: OPTOMETRIST -OWNER/PRESIDENT/SECRET
Phone: (724) 437-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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