Provider Demographics
NPI:1376799379
Name:SAVERI, MARINO C III (OD)
Entity Type:Individual
Prefix:DR
First Name:MARINO
Middle Name:C
Last Name:SAVERI
Suffix:III
Gender:M
Credentials:OD
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Mailing Address - Street 1:1636 ROUTE 209
Mailing Address - Street 2:106-107
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-7799
Mailing Address - Country:US
Mailing Address - Phone:570-992-3933
Mailing Address - Fax:570-402-2922
Practice Address - Street 1:1636 ROUTE 209
Practice Address - Street 2:106-107
Practice Address - City:BRODHEADSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18322-7799
Practice Address - Country:US
Practice Address - Phone:570-992-3933
Practice Address - Fax:570-402-2922
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2013-06-17
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Provider Licenses
StateLicense IDTaxonomies
PAOEG002083152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist