Premier Eye Care Group, Inc.

LBN: Premier Eye Care Group, Inc.
Premier Eye Care Group, Inc. is an health care organization with primary practice located at 3903 Hartzdale Dr , Camp Hill PA 17011. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Premier Eye Care Group, Inc. can be contacted via phone (717) 761-3077, or through Brent, Geoffrey John via phone (717) 232-2245.

Contact Information

Primary practice address
3903 Hartzdale Dr Camp Hill PA 17011
Fax: (717) 761-1186
Website:
Authorized official contact:
Name: Brent, Geoffrey John Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000093 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD020133E Pennsylvania
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 6000004226 Pennsylvania

Profile Details

NPI number 1538161989
LBN Legal business name Premier Eye Care Group, Inc.
DBA Doing business as
Authorized official Brent, Geoffrey John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 6th, 2018 - about 6 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 1538161989 NPPES
Pennsylvania Other 756393 HIGHMARK BLUE SHIELD
Pennsylvania Other 747187 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 01823136 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 01471368 HIGHMARK BLUE SHIELD
Pennsylvania Other 2276000 HIGHMARK BLUE SHIELD

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