JAMES M TICKNER OD

Dr JAMES M TICKNER OD is a male medical professional, specializing in Optometry. He graduated in 2003 from Pennsylvania College Of Optometry.

Contact

1315A LAKE ARIEL HWY
LAKE ARIEL
PA
184369438

Tel:

JAMES M TICKNER OD Information

Npi 1902864085
Pac Id 4284629700
Professional Enrollment Id I20040415000549
Last Name TICKNER
First Name JAMES
Middle Name M
Suffix
Gender M
Credential OD
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 2003
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1315A LAKE ARIEL HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAKE ARIEL
State PA
Zip Code 184369438
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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