Provider First Line Business Practice Location Address:
2200 GREENGATE CENTER
Provider Second Line Business Practice Location Address:
WAL MART VISION CENTER
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-830-2452
Provider Business Practice Location Address Fax Number:
724-837-3361
Provider Enumeration Date:
09/26/2006