Organization
PREMIER EYE CARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY JOHN BRENT MD (AUTHORIZED OFFICIAL)
(717) 232-2245
Entity
Organization
Contact information
Practice address
3903 HARTZDALE DR, CAMP HILL, PA 17011-7836
(717) 761-3077
(717) 761-1186
Mailing address
92 TUSCARORA ST, HARRISBURG, PA 17104-1667
(717) 232-0843
(717) 232-3294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/08/2018
Last updated
11/15/2019
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