# DR. ERIC A PENNOCK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760669949
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 01065165A | IN | — |
| 207W00000X | Ophthalmology Physician | MD436979 | PA | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | MD436979 | PA | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 03/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1023382110001 | — | PA |