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Tom X Grudis, OPTICIAN
Optician in Scranton, Pennsylvania
NPI 1447273610

Tom X Grudis is a Optician based in Scranton, PA and is specialized in Optician. Tom X Grudis practices in Scranton, PA and has the professional credentials of OPTICIAN. The NPI Number for Tom X Grudis is 1447273610 and holds a License No. (Pennsylvania).

The current practice location address for Tom X Grudis is 428 Spruce St, Scranton, PA and can be reached out via phone at 570-346-1771 and via fax at 570-346-5812.

Location: 428 Spruce St, Scranton, PA, 18503-1821
person
Provider Profile Details
NPI Number
1447273610
Provider Name
Tom X Grudis
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
428 Spruce St, Scranton, PA, 18503-1821
Phone Number
570-346-1771
Fax Number
570-346-5812
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0498520001 01 PA MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
428 Spruce St
City
State
Zip
18503-1821
Phone Number
570-346-1771
Fax Number
570-346-5812
person
Provider Business Mailing Address Details
Address
428 Spruce St
City
State
Zip
18503-1821
Phone Number
570-346-1771
Fax Number
570-346-5812
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
(Pennsylvania)
Definition
Definition to come...
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