| |
2045 Westgate Dr, Suite 300, Bethlehem, PA 18017-7480 | |
(610) 867-1182 | |
(610) 866-2196 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 2045 Westgate Dr, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013958313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000088 (Pennsylvania) | Secondary |
332H00000X | Eyewear Supplier | OEG000088 (Pennsylvania) | Primary |
Provider Name | Mark Andrew Spering |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164428314 PECOS PAC ID: 3870638125 Enrollment ID: I20100311000125 |
Mailing Address | Practice Location Address |
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2045 Westgate Dr, Suite 300, Bethlehem, PA 18017-7480 Ph: (610) 867-1182 | 2045 Westgate Dr, Suite 300, Bethlehem, PA 18017-7480 Ph: (610) 867-1182 |