| |
1645 N Reading Rd, Stevens, PA 17578-9306 | |
(717) 336-5100 | |
(717) 336-7125 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1645 N Reading Rd, Stevens, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437277225 | NPI | - | NPPES |
0008935780003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OE004581P (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
1645 N Reading Rd, Stevens, PA 17578-9306 Ph: (717) 336-5100 | 1645 N Reading Rd, Stevens, PA 17578-9306 Ph: (717) 336-5100 |
Dr. Thomas L Andersen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1645 N Reading Rd, Stevens, PA 17578 Phone: 717-336-5100 Fax: 717-336-7125 |