| Organization Name: | EYE CANDY OPTICAL CENTER |
| NPI Number: | 1053541342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONIKA AGNIESZKA MARCZAK (OPTOMETRIS) |
| Mailing Address: | 4007 Washington Rd Donaldson's Crossroads Mc Murray |
| State: | PA US |
| Postal Code: | 153172520 |
| Phone Number: | 7249415100 |
| Fax Number: | 7249415380 |
| NPI Enumeration Date: | 07/21/2009 |
| NPI Last Update Date: | 07/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OEG001269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |