MEDICARE: BETZ OPHTHALMOLOGY ASSOCIATES, PC

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
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1982630380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETZ OPHTHALMOLOGY ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	3 HOSPITAL DR
Second Line	:	SUITE 112
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9394
Country	:	US
Telephone Number	:	570-524-4473
Fax Number	:	570-524-4464

Provider Business Practice Location Address
First Line	:	3 HOSPITAL DR
Second Line	:	SUITE 112
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9394
Country	:	US
Telephone Number	:	570-524-4473
Fax Number	:	570-524-4464

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LOUIS H BETZ
Credential	:	MD
Telephone Number	:	570-524-4473

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	03/31/2009

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