Provider Demographics
NPI:1639316300
Name:DRMG OPTHALMOLOGY
Entity Type:Organization
Organization Name:DRMG OPTHALMOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-375-6299
Mailing Address - Street 1:300 E MAIN ST
Mailing Address - Street 2:P O BOX 189
Mailing Address - City:REYNOLDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15851-1282
Mailing Address - Country:US
Mailing Address - Phone:814-653-8162
Mailing Address - Fax:814-653-8164
Practice Address - Street 1:807 TURNPIKE AVE
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-1238
Practice Address - Country:US
Practice Address - Phone:814-768-8888
Practice Address - Fax:814-768-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty