| |
5201 Hamilton Blvd, Allentown, PA 18106-9113 | |
(610) 530-4444 | |
(610) 366-1343 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 5201 Hamilton Blvd, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972867513 | NPI | - | NPPES |
1027746680001 | Medicaid | PA | |
102774668001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Tricia Lynn Lennox Thomas |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760423826 PECOS PAC ID: 7012804628 Enrollment ID: I20041129000066 |
Provider Name | Betsy P Luo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821275702 PECOS PAC ID: 2062537707 Enrollment ID: I20100917000431 |
Provider Name | Adam R Rosati |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336101807 PECOS PAC ID: 1850580689 Enrollment ID: I20110111000042 |
Provider Name | Marc M Berson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023170669 PECOS PAC ID: 1254516735 Enrollment ID: I20110427000340 |
Provider Name | Stella Linda Luo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1518127794 PECOS PAC ID: 1052599610 Enrollment ID: I20110629000766 |
Provider Name | Roman O Pravak |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275582082 PECOS PAC ID: 5395711055 Enrollment ID: I20120716000114 |
Provider Name | Mouhammed O Abuattieh |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790931186 PECOS PAC ID: 4486818374 Enrollment ID: I20140624001905 |
Provider Name | Joseph A Matz |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205215787 PECOS PAC ID: 9234442302 Enrollment ID: I20191007002897 |
Provider Name | John P Sapone |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841891702 PECOS PAC ID: 8921410101 Enrollment ID: I20201211000991 |
Provider Name | Jason Ning |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588149843 PECOS PAC ID: 3779820592 Enrollment ID: I20210602000331 |
Mailing Address | Practice Location Address |
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5201 Hamilton Blvd, Allentown, PA 18106 Ph: (610) 530-4444 | 5201 Hamilton Blvd, Allentown, PA 18106-9113 Ph: (610) 530-4444 |