MEDICARE: NAZARETH EYE ASSOC 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
1	152W00000X	Optometrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DF3814	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1385947	OTHER	PA	AETNA
2	NA1894080	OTHER		HIGHMARK BLUE CROSS
4	50063799	OTHER	PA	CAPITAL BLUE CROSS
5	2761233000	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1508964503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAZARETH EYE ASSOC INC

Provider Business Mailing Address
First Line	:	163 S GREEN ST
Second Line	:
City	:	NAZARETH
State	:	PA
Zip	:	18064-2014
Country	:	US
Telephone Number	:	610-759-1635
Fax Number	:	610-759-1899

Provider Business Practice Location Address
First Line	:	163 S GREEN ST
Second Line	:
City	:	NAZARETH
State	:	PA
Zip	:	18064-2014
Country	:	US
Telephone Number	:	610-759-1635
Fax Number	:	610-759-1899

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT ALBERT HUGGLER
Credential	:	OD
Telephone Number	:	610-614-0359

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	11/01/2007

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Directions to “NAZARETH EYE ASSOC INC ” Practice Location

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