MEDICARE: MARGARET A. SHIRK O.D. & ASSOCIATES 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	152WC0802X	Corneal and Contact Management Optometrist	OEG001294	PA
2	152WP0200X	Pediatric Optometrist	OEG001294	PA
3	152W00000X	Optometrist	OEG001294	PA

General Provider Information

NPI Number	:	1730359837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET A. SHIRK O.D. & ASSOCIATES INC.

Provider Business Mailing Address
First Line	:	2514 RIDGE RD
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9017
Country	:	US
Telephone Number	:	610-913-0126
Fax Number	:	610-913-0139

Provider Business Practice Location Address
First Line	:	2514 RIDGE RD
Second Line	:
City	:	ELVERSON
State	:	PA
Zip	:	19520-9017
Country	:	US
Telephone Number	:	610-913-0126
Fax Number	:	610-913-0139

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. MARGARET A. SHIRK
Credential	:	OD
Telephone Number	:	610-212-2433

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	02/11/2014

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