Organization
MEDOPTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA MEDINA O.D. (PRESIDENT, OWNER)
(610) 419-8800
Entity
Organization
Contact information
Practice address
2037 STEFKO BLVD, BETHLEHEM, PA 18017-5444
(610) 419-6444
(610) 419-8800
Mailing address
2037 STEFKO BLVD., BETHLEHEM, PA 18017-5444
(610) 419-6444
(610) 419-8800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001366
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102486223 0001
—
PA
Enumeration date
08/05/2010
Last updated
02/22/2012
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