Ben Domiano Optical Incorporated
NPI #1639125214 in Old Forge, Pennsylvania
Provider Information
- NPI Number
- 1639125214
- Entity Type
- Organization
- Organization Name
- Ben Domiano Optical Incorporated
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 26, 2006
- Last Updated
- Aug 17, 2018
Practice Location
- Address
- 817 S MAIN ST
- City
- Old Forge
- State
- Pennsylvania
- ZIP Code
- 18518-1431
- Phone
- (570) 457-2020
Authorized Official
- Name
- BENJAMIN G DOMIANO, ABOC OPTICIAN
- Title
- PRESIDENT
- Phone
- (570) 457-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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