Organization
DENNIS A REDDIG OD & MICHAEL D REDDIG OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS A. REDDIG OD (OWNER)
(717) 733-0148
Entity
Organization
Contact information
Practice address
32 HUMMER RD, EPHRATA, PA 17522-1507
(717) 733-0148
(717) 733-3637
Mailing address
32 HUMMER RD, EPHRATA, PA 17522-1507
(717) 733-0148
(717) 733-3637
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
231939118
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0304100001
DME, NSC
—
01
—
231939118
VISION SERVICE PLAN
PA
01
—
2524000
CAPITAL BLUE CROSS
PA
01
—
RE1599308
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/21/2005
Last updated
08/28/2016
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