Robert Ottaviani OD
Optometrist · Wyalusing, PA
Practice location
55 Main StWyalusing, PA 18853-0307
- Phone
- (570) 746-1610
- Fax
- (570) 746-6218
NPI record
- NPI
- 1679730071
- Entity type
- Organization (Type 2)
- Enumeration date
- May 22, 2008
- Last updated
- October 23, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
OEG000822 | PA |
Mailing address
P.O. Box 307Wyalusing, PA 18853-0307
- Phone
- (570) 746-1610
- Fax
- (570) 746-6218
Authorized official
- Name
- Mrs. Rosemarie Ottaviani
- Title
- Office MGR
- Phone
- (570) 746-1610
About Robert Ottaviani OD
Robert Ottaviani OD is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 55 Main St, Wyalusing, PA 18853-0307. The NPI number 1679730071 was assigned on May 22, 2008 and the record was last updated on October 23, 2012.
Robert Ottaviani OD lists a license in the registry: #OEG000822 (PA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mrs. Rosemarie Ottaviani, Office MGR.
Frequently asked questions
What is the NPI number of Robert Ottaviani OD?
The NPI number is 1679730071.
What is the phone number of Robert Ottaviani OD?
The phone number listed for the practice location is (570) 746-1610.
Where is Robert Ottaviani OD located?
55 Main St, Wyalusing, PA 18853-0307.
What is the taxonomy code for Robert Ottaviani OD?
The primary taxonomy code is 152W00000X – Optometrist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Optometrist providers in Wyalusing
- Robert Stanley Wywiorski, OD103 B Taylor Avenue