Organization
VISTAURA EYE PC
Active
Organization
VISTAURA EYE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAUTAM MISHRA (PRESIDENT)
(717) 233-3937
Entity
Organization
Contact information
Practice address
10 CAPITAL DR., SUITE 300, HARRISBURG, PA 17110
(717) 233-3937
(717) 233-5715
Mailing address
10 CAPITAL DRIVE, SUITE 300, HARRISBURG, PA 17110
(717) 233-3937
(717) 233-5715
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA3279
RAILROAD MEDICARE
PA
Enumeration date
07/10/2006
Last updated
07/01/2025
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