Dodge, Peter E
Dodge, Peter E is an sole proprietor health care provider with primary practice located at 4371 Union Deposit Rd , Harrisburg PA 17111-2905. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Dodge, Peter E can be contacted via phone (717) 561-1660.Contact Information
Primary practice address
4371 Union Deposit Rd
Harrisburg PA 17111-2905
Phone: (717) 561-1660
Fax: (717) 561-8314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000403 | Pennsylvania |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OEG000403 | Pennsylvania |
Profile Details
| NPI number | 1275582553 |
|---|---|
| LBN Legal business name | Dodge, Peter E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | May 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275582553 | NPPES |
| Pennsylvania | Other | 50003812 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 096486 | CAPITAL BLUE CROSS |
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