Organization
PREMIER EYE CARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL BUTTS M.S. (ECONOMICS OFFICER)
(717) 232-0797
Entity
Organization
Contact information
Practice address
2745 N FRONT ST, HARRISBURG, PA 17110-1270
(717) 238-6757
(717) 238-6541
Mailing address
92 TUSCARORA ST, HARRISBURG, PA 17104-1667
(717) 232-0797
(717) 232-2215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000004225
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007738030025
—
PA
Enumeration date
08/20/2009
Last updated
08/20/2009
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