Individual provider · Type 1 NPI
Colleen Ruddy, VISION SPECIALIST
Specialist · Clarks Green, PA
NPI number
1346888690
Active
Practice location
205 Glenburn Rd
Clarks Green, PA 18411-2534
Mailing address
PO Box 810
Clarks Summit, PA 18411-0810
Other practice locations
- 4 Lexington Ave Apt 7C, New York, NY 10010-5461 · (570) 575-5421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1346888690
Colleen Ruddy, VISION SPECIALIST's National Provider Identifier is 1346888690, issued on Dec 17, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clarks Green, PA. The record was last updated on Dec 17, 2019.