Antietam Eye Associates

NPI #1972733459 in Waynesboro, Pennsylvania

Provider Information

NPI Number: 1972733459
Entity Type: Organization
Organization Name: Antietam Eye Associates
Primary Specialty: Optometrist
Enumeration Date: Jul 20, 2009
Last Updated: Mar 23, 2011

Practice Location

Address: 1051 E MAIN ST
Address 2: UNIT 7
City: Waynesboro
State: Pennsylvania
ZIP Code: 17268-2318
Phone: (717) 387-5657

Authorized Official

Name: DR. JERZY KORNILOW, O.D.
Title: OPTOMETRIST
Phone: (240) 217-4266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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