Organization
FARRELL AQUISITION CORPORATION
Active
Other names
Arlington Optical, Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA R FARRELL DO (PRESIDENT)
(717) 652-4924
Entity
Organization
Contact information
Practice address
4386 STURBRIDGE DRIVE, HARRISBURG, PA 17110-3886
(717) 652-4924
(717) 652-1015
Mailing address
4386 STURBRIDGE DRIVE, HARRISBURG, PA 17110-3668
(717) 652-4924
(717) 652-1015
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614458
KEYSTONE
—
01
—
1429299
BLUE SHIELD VISION
—
01
—
393570
NVA
—
01
—
39808
GEISINGER GOLD
—
01
—
50025282
CAPITAL BLUE CROSS
—
01
—
5766476
AETNA
—
01
—
68052259A
TAX ID
—
01
—
OP1605
EYE MED
—
Enumeration date
11/08/2005
Last updated
10/15/2008
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