Organization
WYOMISSING OPTOMETRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN S CORBIN O.D. (PRESIDENT)
(610) 374-3134
Entity
Organization
Contact information
Practice address
50 BERKSHIRE CT, WYOMISSING, PA 19610-1219
(610) 374-3134
(610) 374-0484
Mailing address
50 BERKSHIRE CT, WYOMISSING, PA 19610-1219
(610) 374-3134
(610) 374-0484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020592000
KEYSTONE EAST GROUP ID#
PA
01
—
02525100
CAPITAL BLUE CROSS GRP ID
PA
01
—
29435
SPECTERA GROUP #
PA
01
—
338133
HEALTH AMERICA/HEALTH ASSURANCE
PA
01
—
429305
HIGHMARK GROUP ID #
PA
01
—
54384
DAVIS AFFINITY
PA
01
—
5586009
AETNA TRADITIONAL/PPO
PA
01
—
70467
HEALTH AMERICA GRP ID #
PA
01
—
CM6302
MEDICARE RAILROAD
PA
Enumeration date
04/05/2006
Last updated
07/21/2022
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