Healthcare Provider Details

I. General information

NPI: 1235353731
Provider Name (Legal Business Name): HUNTINGDON VISION CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 WASHINGTON ST
HUNTINGDON PA
16652-1726
US

IV. Provider business mailing address

828 WASHINGTON ST
HUNTINGDON PA
16652-1726
US

V. Phone/Fax

Practice location:
  • Phone: 814-643-2020
  • Fax: 814-641-2020
Mailing address:
  • Phone: 814-643-2020
  • Fax: 814-641-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG004569T
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG008176T
License Number StatePA

VIII. Authorized Official

Name: DR. KARA COOK RITCHEY
Title or Position: SECRETARY
Credential: O.D.
Phone: 814-643-2020