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1935 Center St, Northampton, PA 18067-1362 | |
(610) 262-2091 | |
(610) 262-2239 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1935 Center St, Northampton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003968041 | NPI | - | NPPES |
3118323 | Other | PA | USHC |
AN1430980 | Other | PA | BLUE SHIELD |
02916500 | Other | PA | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000244 (Pennsylvania) | Primary |
Provider Name | Gary J Kokosky |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518003789 PECOS PAC ID: 2163476102 Enrollment ID: I20050311000502 |
Provider Name | Shannon Lynn Sharkey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124180633 PECOS PAC ID: 3577643451 Enrollment ID: I20101108000032 |
Mailing Address | Practice Location Address |
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1935 Center St, Northampton, PA 18067-1362 Ph: (610) 262-2091 | 1935 Center St, Northampton, PA 18067-1362 Ph: (610) 262-2091 |
Dr. Shannon Lynn Sharkey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1935 Center St, Northampton, PA 18067 Phone: 610-262-2091 Fax: 610-262-2239 |