Individual
DR. JOHN EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2627 WEST CUMBERLAND STREET, LEBANON, PA 17042
(717) 272-3068
Mailing address
2627 WEST CUMBERLAND STREET, LEBANON, PA 17042
(717) 272-3068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000495
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000038353
FEDERAL EMPLOYEE PROGRAM
PA
01
—
0004514752
AETNA
PA
01
—
01433601
CAPTIAL BLUE CROSS
PA
01
—
038353
HEALTHNOW (DMERC)
PA
01
—
2000153
KEYSTONE HEALTH PLAN
PA
01
—
38081
GEISINGER
PA
01
—
410040479
PALMETTO
PA
01
—
U06674
HEALTH AMERICA/ADVANTRA
PA
Enumeration date
06/21/2005
Last updated
02/28/2008
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