Provider First Line Business Practice Location Address:
J.C. PENNEY OPTICAL
Provider Second Line Business Practice Location Address:
LOGAN VALLEY MALL
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-944-1492
Provider Business Practice Location Address Fax Number:
814-944-7975
Provider Enumeration Date:
04/07/2006