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220 Wilson St, Suite 207, Carlisle, PA 17013-3697 | |
(717) 243-2300 | |
(717) 258-0928 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 220 Wilson St, Carlisle, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154381606 | NPI | - | NPPES |
0775136 | Other | KEYSTONE GROUP NUMBER | |
02362600 | Other | PA | CAPITAL BLUE CROSS GROUP |
2241668 | Other | AETNA GROUP NUMBER | |
85763 | Other | HEALTH AMERICA GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001714 (Pennsylvania) | Secondary |
174400000X | Specialist | MD055564L (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Julian A Procope |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982673307 PECOS PAC ID: 8022006758 Enrollment ID: I20040503000909 |
Provider Name | Paul M Bednarek |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124082870 PECOS PAC ID: 7911041769 Enrollment ID: I20100218000091 |
Mailing Address | Practice Location Address |
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220 Wilson St, Ste 207, Carlisle, PA 17013-3697 Ph: (717) 243-2300 | 220 Wilson St, Suite 207, Carlisle, PA 17013-3697 Ph: (717) 243-2300 |