| |
854 Plaza Blvd, Lancaster, PA 17601-2738 | |
(717) 295-3111 | |
(717) 295-7320 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 854 Plaza Blvd, Lancaster, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134180987 | NPI | - | NPPES |
0017630120014 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156F00000X | Technician/technologist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2921 Erie Blvd East, Syracuse, NY 13224 Ph: (315) 446-3145 | 854 Plaza Blvd, Lancaster, PA 17601-2738 Ph: (717) 295-3111 |