| |
117 West Main Street New Holland PA 17557 | |
(717) 354-2020 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 117 West Main Street, New Holland, Pennsylvania |
Authorized Official Name and Position | Jonathan Andrews (OWNER) |
Authorized Official Contact | 7173542020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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117 W Main St New Holland PA 17557-1298 Ph: (717) 354-2020 | 117 West Main Street New Holland PA 17557 Ph: (717) 354-2020 |
NPI Number | 1972012318 |
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Provider Enumeration Date | 09/28/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8729346788 |
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Medicare Enrollment ID | O20171228002286 |
Identifier | Type | State | Issuer |
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1972012318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jennifer A Anderson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578902037 PECOS PAC ID: 4486896552 Enrollment ID: I20130820000690 |
Provider Name | Jonathan D Andrews |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821400664 PECOS PAC ID: 2163641135 Enrollment ID: I20140924001619 |
Provider Name | Kathryn Alyssa Andrews |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982158457 PECOS PAC ID: 7315228855 Enrollment ID: I20170920000666 |
Provider Name | Cynthia A Koza |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568774271 PECOS PAC ID: 4981887163 Enrollment ID: I20181115000316 |
Provider Name | Jared E Freedman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063031334 PECOS PAC ID: 8426460395 Enrollment ID: I20220719001130 |
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