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NPI Code Detail

MEDICARE: JOEL H. MCGAHEN, OD, P.C.

MEDICARE: JOEL H. MCGAHEN, OD, 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
1332B00000XDurable Medical Equipment & Medical SuppliesOEG000370PA
2332H00000XEyewear SupplierOEG000370PA
3152W00000XOptometristOEG000370PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DG4563OTHERPAMEDICARE RAILROAD

General Provider Information

NPI Number : 1275678765
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOEL H. MCGAHEN, OD, P.C.
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 : PRESIDENT
Name : DR. JOEL HOWARD MCGAHEN
Credential : OD
Telephone Number : 717-264-4012
Provider Enumeration Date : 02/21/2007
Last Update Date : 04/03/2017

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