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JOHN A FISCHER O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1689719361

Individual Registrant:
 JOHN A FISCHER O.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
247 MAIN ST  DURYEA, PA 18642 US
Tel: 570-457-9770  Fax: 570-451-6332

Contact information for business:
247 MAIN ST  DURYEA, PA 18642 US
Tel: 570-457-9770  Fax: 570-451-6332

Registration Information:
NPI: 1689719361
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
PAOEG00758

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
15-01410308PA05




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