| Dr C J Macri Inc | |
|
1702 W State St New Castle PA 16101-1234 | |
| (724) 652-5191 | |
| (724) 652-8160 |
| Full Name | Dr C J Macri Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1702 W State St, New Castle, Pennsylvania |
| Authorized Official Name and Position | Candice J Macri (OWNER) |
| Authorized Official Contact | 7246525191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr C J Macri Inc 1702 W State St New Castle PA 16101-1234 Ph: (724) 652-5191 | Dr C J Macri Inc 1702 W State St New Castle PA 16101-1234 Ph: (724) 652-5191 |
| NPI Number | 1184892168 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Medicare PECOS PAC ID | 1052337565 |
|---|---|
| Medicare Enrollment ID | O20051024000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184892168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Candice J Macri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952375867 PECOS PAC ID: 1355367871 Enrollment ID: I20051024000285 |
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