Wida, Lois Jean

Wida, Lois Jean is an individual health care provider with primary practice located at 2654 N Reading Rd , Reinholds PA 17569-9640. She recently has 7 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 / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Wida, Lois Jean can be contacted via phone (717) 484-0934.

Contact Information

Primary practice address
2654 N Reading Rd Reinholds PA 17569-9640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001242 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG001242 Pennsylvania
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OEG001242 Pennsylvania
Eye and Vision Services Providers / Pediatrics 152WP0200X OEG001242 Pennsylvania
Eye and Vision Services Providers / Sports Vision 152WS0006X OEG001242 Pennsylvania
Eye and Vision Services Providers / Vision Therapy 152WV0400X OEG001242 Pennsylvania
Eye and Vision Services Providers / Occupational Vision 152WX0102X OEG001242 Pennsylvania

Profile Details

NPI number 1205834926
LBN Legal business name Wida, Lois Jean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 14th, 2007 - about 17 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 1205834926 NPPES
Pennsylvania Other P00254773 RAILROAD MEDICARE

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