Organization
SANS PAREIL EYECARE
Active
Other names
Wheatlyn EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES POLLECK TUTTLE OD (PARTNER)
(717) 266-5661
Entity
Organization
Contact information
Practice address
234 ROSEDALE DR, MANCHESTER, PA 17345-1023
(717) 266-5661
(717) 266-6510
Mailing address
234 ROSEDALE DR, MANCHESTER, PA 17345-1023
(717) 266-5661
(717) 266-6510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000113
PA
152W00000X
Optometrist
OEG001473
PA
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG000113
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001473
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG001473
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50109206
CAPITAL BLUE CROSS
PA
Enumeration date
04/04/2012
Last updated
07/17/2012
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