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NPI Code Detail

MEDICARE: OPTOMETRY ASSOCIATES, P.C.

MEDICARE: OPTOMETRY ASSOCIATES, P.C.
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1063569036
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTOMETRY ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 4392 STURBRIDGE DR
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-3674
Country : US
Telephone Number : 717-652-7710
Fax Number : 717-541-9842
Provider Business Practice Location Address
First Line : 4392 STURBRIDGE DRIVE
Second Line :
City : HARRISBURG
State : PA
Zip : 17110-3670
Country : US
Telephone Number : 717-652-7710
Fax Number : 717-541-9842
Authorized Official
Title or Position : PRESIDENT
Name : MRS. BARBARA W BLOOM
Credential : OD
Telephone Number : 717-652-7710
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/18/2014

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Directions to “OPTOMETRY ASSOCIATES, P.C. ” Practice Location

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