Formica Optical Inc.
NPI #1972592277 in Johnstown, Pennsylvania
Provider Information
- NPI Number
- 1972592277
- Entity Type
- Organization
- Organization Name
- Formica Optical Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 19, 2005
- Last Updated
- Jan 14, 2010
Practice Location
- Address
- 1751 LYTER DR
- City
- Johnstown
- State
- Pennsylvania
- ZIP Code
- 15905-1207
- Phone
- (814) 255-2814
Authorized Official
- Name
- MR. CHARLES A FORMICA
- Title
- PRESIDENT
- Phone
- (814) 255-2814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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