Provider Demographics
NPI:1952717308
Name:SAVERI FAMILY EYECARE, INC
Entity type:Organization
Organization Name:SAVERI FAMILY EYECARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINO
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SAVERI
Authorized Official - Suffix:III
Authorized Official - Credentials:OD
Authorized Official - Phone:570-992-3933
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002083152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty