Custom Eyes Rx INC
NPI #1982732715 in Matamoras, Pennsylvania
Provider Information
- NPI Number
- 1982732715
- Entity Type
- Organization
- Organization Name
- Custom Eyes Rx INC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 111 HULST DR STE 706
- Address 2
- KMART WESTFALL SHOPPING CENTER
- City
- Matamoras
- State
- Pennsylvania
- ZIP Code
- 18336-2115
- Phone
- (570) 491-5454
Authorized Official
- Name
- DR. JEFFREY TODD LIEGNER, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (973) 729-5757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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