Alex Lupolt, OD | |
4504 Westbranch Hwy, Lewisburg, PA 17837-6605 | |
(570) 768-4970 | |
Not Available |
Full Name | Alex Lupolt |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 5 Years |
Location | 4504 Westbranch Hwy, Lewisburg, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962025239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG003669 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Vision Eyecare Llc | 5991042939 | 4 |
Provider Name | Central Vision Eyecare Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578034187 PECOS PAC ID: 5991042939 Enrollment ID: O20190129001034 |
Mailing Address | Practice Location Address |
---|---|
Alex Lupolt, OD 1331 County Line Rd, Selinsgrove, PA 17870-8187 Ph: (570) 765-1636 | Alex Lupolt, OD 4504 Westbranch Hwy, Lewisburg, PA 17837-6605 Ph: (570) 768-4970 |
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