Organization
ALLEGANY OPTICAL LLC
Active
Other names
ALLEGANY OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J WHITELOCK O.D. (O.D. / MANAGING MEMBER)
(717) 263-2389
Entity
Organization
Contact information
Practice address
626 CHAMBERSBURG MALL, CHAMBERSBURG, PA 17202-8101
(717) 263-7050
(717) 263-3277
Mailing address
626 CHAMBERSBURG MALL, CHAMBERSBURG, PA 17202-8101
(717) 263-7050
(717) 263-3277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6000003977
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007510100006
—
PA
05
—
1007510100010
—
PA
01
—
CJ5439
RAILROAD MEDICARE
PA
Enumeration date
11/13/2007
Last updated
11/13/2007
Update your record
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