Healthcare Provider Details

I. General information

NPI: 1548440308
Provider Name (Legal Business Name): TAMARKIN EYE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 S QUEEN ST
YORK PA
17403-4624
US

IV. Provider business mailing address

1610 S QUEEN ST
YORK PA
17403-4624
US

V. Phone/Fax

Practice location:
  • Phone: 717-848-2020
  • Fax: 717-846-8391
Mailing address:
  • Phone: 717-848-2020
  • Fax: 717-846-8391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG001160
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberOEG001160
License Number StatePA

VIII. Authorized Official

Name: MRS. HEATHER MARIE LAWRENCE
Title or Position: OWNER
Credential: O.D.
Phone: 717-848-2020