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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

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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