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Organization
SPECTACULAR EYEWEAR
Active
Organization
SPECTACULAR EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA E ESKRIDGE (PARTNER)
(717) 699-4444
Entity
Organization
Contact information
Practice address
940 S QUEEN ST, YORK, PA 17403-3946
(717) 699-4444
(717) 854-9543
Mailing address
940 S QUEEN ST, YORK, PA 17403-3946
(717) 699-4444
(717) 854-9543
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243997
BLUE SHIELD
PA
01
—
50010000
CAPITAL BLUE CROSS
PA
Enumeration date
09/13/2006
Last updated
08/22/2020
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