Healthcare Provider Details

I. General information

NPI: 1538213905
Provider Name (Legal Business Name): EYE CARE SPECIALISTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 BOSTON AVE
WEST PITTSTON PA
18643-2724
US

IV. Provider business mailing address

703 RUTTER AVE
KINGSTON PA
18704-4801
US

V. Phone/Fax

Practice location:
  • Phone: 570-602-1010
  • Fax: 570-602-1222
Mailing address:
  • Phone: 570-288-7405
  • Fax: 570-288-7406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIK F KRUGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 570-288-7405