| |
295 Buck Rd, Suite 316, Holland, PA 18966-1733 | |
(215) 953-1200 | |
(215) 953-1201 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 295 Buck Rd, Holland, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1366640450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OEG000238 (Pennsylvania) | Primary |
Provider Name | Jason D Munitz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215952395 PECOS PAC ID: 4587666847 Enrollment ID: I20150731015420 |
Provider Name | Heather Deeble |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043281017 PECOS PAC ID: 1759307770 Enrollment ID: I20210322001877 |
Mailing Address | Practice Location Address |
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295 Buck Rd, Suite 316, Holland, PA 18966-1733 Ph: (215) 953-1200 | 295 Buck Rd, Suite 316, Holland, PA 18966-1733 Ph: (215) 953-1200 |
Kathleen Russell, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 295 Buck Rd, Suite 114, Holland, PA 18966 Phone: 215-953-1200 Fax: 215-953-1201 |