Provider Demographics
NPI:1417091612
Name:BARTOLOTTA VISION CARE, LLC
Entity Type:Organization
Organization Name:BARTOLOTTA VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTOLOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-472-8010
Mailing Address - Street 1:3133 NEW GERMANY RD
Mailing Address - Street 2:SUITE 61
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-4348
Mailing Address - Country:US
Mailing Address - Phone:814-472-8010
Mailing Address - Fax:814-472-8293
Practice Address - Street 1:3133 NEW GERMANY RD
Practice Address - Street 2:SUITE 61
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-4348
Practice Address - Country:US
Practice Address - Phone:814-472-8010
Practice Address - Fax:814-472-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001205152W00000X
PAOEG000543152W00000X
PAOEG000980152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty