Eyeland Optical Inc

LBN: Independence Corporation
Eyeland Optical Inc is an health care organization with primary practice located at 578 Susquehanna Blvd , Hazle Township PA 18202-3233. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Independence Corporation can be contacted via phone (570) 459-2200, or through Pausinger, Lisa via phone (610) 799-2020.

Contact Information

Primary practice address
578 Susquehanna Blvd Hazle Township PA 18202-3233
Phone: (570) 459-2200
Fax: (570) 459-8690
Website:
Map and Directions
Authorized official contact:
Name: Pausinger, Lisa
Phone: (610) 799-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1508008376
LBN Legal business name Independence Corporation
DBA Doing business as Eyeland Optical Inc
Authorized official Pausinger, Lisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 25th, 2009
Last updated Dec 6th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508008376 NPPES
Pennsylvania MEDICAID 0018518950002

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