Provider Demographics
NPI:1699963710
Name:CURRY'S SPECTACLE SHOP, INC.
Entity type:Organization
Organization Name:CURRY'S SPECTACLE SHOP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-899-6833
Mailing Address - Street 1:3202 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-1810
Mailing Address - Country:US
Mailing Address - Phone:814-899-6833
Mailing Address - Fax:814-898-2702
Practice Address - Street 1:3202 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-1810
Practice Address - Country:US
Practice Address - Phone:814-899-6833
Practice Address - Fax:814-898-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0439820001Medicare NSC