Organization
ICU2INC
Active
Other names
Clear Image Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA M TANANA (OPTICIAN/TECH)
(570) 876-5200
Entity
Organization
Contact information
Practice address
RTE 6 TRAP PLAZA, EYNON, PA 18403
(570) 876-5200
(570) 876-5612
Mailing address
RTE 6 TRAP PLAZA, EYNON, PA 18403
(570) 876-5200
(570) 876-5612
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123944
MEDICARE (PTAN)
PA
Enumeration date
01/24/2007
Last updated
08/25/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us