Mcavoy, James P.

Mcavoy, James P. is an sole proprietor health care provider with primary practice located at 1201A North Church Street Suite 100, Hazle Township PA 18202-1443. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcavoy, James P. can be contacted via phone (570) 454-6302.

Contact Information

Primary practice address
1201A North Church Street Suite 100 Hazle Township PA 18202-1443
Fax: (570) 454-3564
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001270 Pennsylvania

Profile Details

NPI number 1295773471
LBN Legal business name Mcavoy, James P.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Oct 21st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295773471 NPPES
Pennsylvania MEDICAID 076389

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