MEDICARE: MT BETHEL EYE CARE 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
1	152WC0802X	Corneal and Contact Management Optometrist	OEG000111	PA
2	152W00000X	Optometrist	OEG000111	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02095801	OTHER	PA	KEYSTONE
2	02886800	OTHER	PA	CAPITAL BLUE CROSS
3	751252	OTHER	PA	KEYSTONE
4	02095801	OTHER	PA	KEYSTONE SENIOR BLUE
5	02095801	OTHER	PA	CAPITAL BLUE CROSS
6	751252	OTHER	PA	HIGHMARK BLUE SHIELD
7	02886800	OTHER	PA	KEYSTONE SENIOR BLUE
8	751252	OTHER	PA	KEYSTONE SENIOR BLUE
9	02886800	OTHER	PA	KEYSTONE
10	1253981001	OTHER	PA	CIGNA
11	396396	OTHER	PA	NATIONAL VISION ADM.
12	5708975911	OTHER	PA	VISION SERVICE PLAN
13	G521252	OTHER	PA	AMERIHEALTH ADM.
14	176529873	OTHER	PA	AMERIHEALTH ADM.
15	465212	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1376522862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MT BETHEL EYE CARE P C

Provider Business Mailing Address
First Line	:	9 MOUNT BETHEL PLZ
Second Line	:
City	:	MOUNT BETHEL
State	:	PA
Zip	:	18343-5212
Country	:	US
Telephone Number	:	570-897-5911
Fax Number	:	570-897-5908

Provider Business Practice Location Address
First Line	:	9 MOUNT BETHEL PLZ
Second Line	:
City	:	MOUNT BETHEL
State	:	PA
Zip	:	18343-5212
Country	:	US
Telephone Number	:	570-897-5911
Fax Number	:	570-897-5908

Authorized Official
Title or Position	:	PRESIDENT / OPTOMETRIST
Name	:	DR. STEPHEN DIMARCO
Credential	:	O.D.
Telephone Number	:	570-897-5911

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/13/2024

Similar Medicare Providers

1609879576 — DR. STEPHEN DIMARCO O.D.
Practice Location Address:

9 MOUNT BETHEL PLZ
MOUNT BETHEL, PA
18343-5212

Practice Phone: 570-897-5911
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1992729503 — MT BETHEL MEDICAL CENTER LLC
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MOUNT BETHEL, PA
18343-5212

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1609080175 — JON A RASO M.D.
Practice Location Address:

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18343-5212

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Practice Fax:

1790396398 — COMUNALE CHIROPRACTIC LLC
Practice Location Address:

14 MOUNT BETHEL PLZ
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18343-5212

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1881316909 — LEHIGH VALLEY PHYSICIAN GROUP
Practice Location Address:

10 MOUNT BETHEL PLZ
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Practice Phone: 570-897-7559
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1568674935 — COTTURO DENTAL ASSOCIATES
Practice Location Address:

2094 S DELAWARE DR
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Directions to “MT BETHEL EYE CARE P C ” Practice Location

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