Healthcare Provider Details

I. General information

NPI: 1265025118
Provider Name (Legal Business Name): LAPPEN EYE CARE GREENSBURG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 JEFFERSON ST
GREENSBURG PA
15601-5518
US

IV. Provider business mailing address

1821 JEFFERSON ST
GREENSBURG PA
15601-5518
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-5350
  • Fax: 724-837-5352
Mailing address:
  • Phone: 724-837-5350
  • Fax: 724-837-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD D LAPPEN
Title or Position: OWNER
Credential: O.D.
Phone: 724-244-7500