Healthcare Provider Details

I. General information

NPI: 1710947296
Provider Name (Legal Business Name): JOSEPH W BYTOF O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 07/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 N BALTIMORE ST
DILLSBURG PA
17019-1211
US

IV. Provider business mailing address

7 N BALTIMORE ST P.O. BOX 41
DILLSBURG PA
17019-1211
US

V. Phone/Fax

Practice location:
  • Phone: 717-432-4911
  • Fax: 717-502-8783
Mailing address:
  • Phone: 717-432-4911
  • Fax: 717-502-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOE-005766-P
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: