Organization
FAMILY EYE HEALTH CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA J KOHLER (OFFICE MANAGER)
(814) 368-7090
Entity
Organization
Contact information
Practice address
20 MAIN ST, BRADFORD, PA 16701-2004
(814) 368-7090
(814) 368-5855
Mailing address
20 MAIN ST, BRADFORD, PA 16701-2004
(814) 368-7090
(814) 368-5855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000131398
BLUE CARD
—
01
—
0005752970001
DPA
—
05
—
0005752970001
—
PA
01
—
073044001
TRAVELERS MEDICARE
PA
01
—
15156
SPECTERA
—
01
—
212025
UPMC
—
01
—
3687090
VSP
—
01
—
3740
ECPA
—
01
—
390850
NVA
—
01
—
410018195
RR MEDICARE
PA
01
—
53929
DAVIS VISION
—
01
—
7043
VBA
—
Enumeration date
12/12/2006
Last updated
06/21/2018
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