| |
407 N Queen St, Littlestown, PA 17340-1223 | |
(717) 359-4800 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 407 N Queen St, Littlestown, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164780805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001561 (Pennsylvania) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
407 N Queen St, Littlestown, PA 17340-1223 Ph: (717) 359-4800 | 407 N Queen St, Littlestown, PA 17340-1223 Ph: (717) 359-4800 |