Main Street Eye Care, LLC

NPI #1881166643 in Du Bois, Pennsylvania

Provider Information

NPI Number: 1881166643
Entity Type: Organization
Organization Name: Main Street Eye Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 18, 2018
Last Updated: Dec 18, 2018

Practice Location

Address: 200 S MAIN ST
City: Du Bois
State: Pennsylvania
ZIP Code: 15801-1578
Phone: (814) 375-0125

Authorized Official

Name: DR. CHRISTOPHER THOMAS SHAW, OD
Title: OWNER/OPTOMETRIST
Phone: (814) 375-0125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist	152W00000X	Primary

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