MEDICARE: HUNTINGDON VISION CENTER LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG004569T	PA
2	152W00000X	Optometrist	OEG008176T	PA

General Provider Information

NPI Number	:	1235353731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTINGDON VISION CENTER LTD

Provider Business Mailing Address
First Line	:	828 WASHINGTON ST
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1726
Country	:	US
Telephone Number	:	814-643-2020
Fax Number	:	814-641-2020

Provider Business Practice Location Address
First Line	:	828 WASHINGTON ST
Second Line	:
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-1726
Country	:	US
Telephone Number	:	814-643-2020
Fax Number	:	814-641-2020

Authorized Official
Title or Position	:	SECRETARY
Name	:	DR. KARA COOK RITCHEY
Credential	:	O.D.
Telephone Number	:	814-643-2020

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	09/17/2008

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1316965304 — DR. CRAIG A EISENHART DMD
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