MEDICARE: SEAN D HYMAN

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	OEG000031	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3000327	OTHER	PA	KEYSTONE CENTRAL
2	5912273	OTHER	PA	AETNA
3	EL1655020	OTHER	PA	HIGHMARK BLUE SHIELD
4	50041624	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1780682120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN D HYMAN

Provider Business Mailing Address
First Line	:	320 MORGANTOWN RD
Second Line	:
City	:	READING
State	:	PA
Zip	:	19611-2059
Country	:	US
Telephone Number	:	610-898-0888
Fax Number	:	610-898-0891

Provider Business Practice Location Address
First Line	:	320 MORGANTOWN RD
Second Line	:
City	:	READING
State	:	PA
Zip	:	19611-2059
Country	:	US
Telephone Number	:	610-898-0888
Fax Number	:	610-898-0891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	02/05/2015

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Directions to “ SEAN D HYMAN ” Practice Location

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