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NPI Code Detail

MEDICARE: JOEL HOWARD MCGAHEN OD

MEDICARE: JOEL HOWARD MCGAHEN OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOEG000370PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1410030903OTHERPAMEDICARE RAILROAD
2DG4563OTHERPAMEDICARE RAILROAD

General Provider Information

NPI Number : 1033170295
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL HOWARD MCGAHEN OD
Provider Business Mailing Address
First Line : 422 PHOENIX DR
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-4537
Country : US
Telephone Number : 717-264-4012
Fax Number : 717-264-5745
Provider Business Practice Location Address
First Line : 422 PHOENIX DR
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-4537
Country : US
Telephone Number : 717-264-4012
Fax Number : 717-264-5745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 04/29/2022

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