=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710943345
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HILDY L STRONGWATER OD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2006
-----------------------------------------------------
Last Update Date | 05/25/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2414 MACARTHUR RD
-----------------------------------------------------
City | WHITEHALL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18052-3810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-432-3937
-----------------------------------------------------
Fax | 610-432-0124
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 441 NORTHAMPTON ST
-----------------------------------------------------
City | EASTEN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-253-8132
-----------------------------------------------------
Fax | 610-252-2286
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | OE006824T
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------