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NPI Code Detail

MEDICARE: YOUR FAMILY EYE DOCTORS, INC.

MEDICARE: YOUR FAMILY EYE DOCTORS, INC.
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
1152W00000XOptometristPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2C30091OTHERPAPALMETTO GBA-RAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1704404OTHERPAHIGHMARK BLUECROSS BLUESH

General Provider Information

NPI Number : 1154374783
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR FAMILY EYE DOCTORS, INC.
Provider Business Mailing Address
First Line : 8730 NORWIN AVE
Second Line :
City : NORTH HUNTINGDON
State : PA
Zip : 15642-2745
Country : US
Telephone Number : 724-864-7777
Fax Number : 724-864-7779
Provider Business Practice Location Address
First Line : 8730 NORWIN AVNENUE
Second Line :
City : NORTH HUNTINGDON
State : PA
Zip : 15642-2745
Country : US
Telephone Number : 724-864-7777
Fax Number : 724-864-7779
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. SHERRI A. JOHNSON
Credential :
Telephone Number : 724-864-7777
Provider Enumeration Date : 05/17/2006
Last Update Date : 02/16/2015

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Directions to “YOUR FAMILY EYE DOCTORS, INC. ” Practice Location

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