Ben Domiano Optical Center Llc is a 
Technician/technologist - Optician based in Old Forge, Pennsylvania. Ben Domiano Optical Center Llc is licensed to practice in Pennsylvania (license number 30685) and their current practice location is 
817 S Main St, Old Forge, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at 
(570) 457-2020.
NPI number for Ben Domiano Optical Center Llc is 1992090096 and their current mailing address is 817 S Main St, Old Forge, Pennsylvania. Ben Domiano Optical Center Llc 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992090096.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Ben Domiano Optical Center Llc | 
|---|
| Type | Facility | 
|---|
| Speciality | Technician/technologist - Optician | 
|---|
| Location | 817 S Main St, Old Forge, Pennsylvania | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1992090096
 - Provider Enumeration Date: 06/16/2011
 - Last Update Date: 06/16/2011
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Ben Domiano Optical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1992090096 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 152W00000X | Optometrist  | OEG000082 (Pennsylvania) | Secondary | 
| 156FC0800X | Technician/technologist - Contact Lens  | 30685 (Pennsylvania) | Secondary | 
| 156FX1800X | Technician/technologist - Optician  | 30685 (Pennsylvania) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ben Domiano Optical Center Llc is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Ben Domiano Optical Center Llc 817 S Main St, Old Forge, PA 18518-1431 Ph: (570) 457-2020 | Ben Domiano Optical Center Llc 817 S Main St, Old Forge, PA 18518-1431 Ph: (570) 457-2020 | 
		
		 
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