Organization
STOKEN WAGNER OPHTHALMIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA MARIE HOFFMAN MHA (ADMINISTRATOR)
(717) 249-6337
Entity
Organization
Contact information
Practice address
338 ALEXANDER SPRING RD, CARLISLE, PA 17015-9129
(717) 249-6337
(717) 249-2415
Mailing address
338 ALEXANDER SPRING RD, CARLISLE, PA 17015-9129
(717) 249-6337
(717) 249-2415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE7242T
PA
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
MD032077E
PA
207W00000X
Ophthalmology Physician
MD423128
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103079526
—
PA
Enumeration date
08/25/2015
Last updated
04/15/2016
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