Organization
NORTHEASTERN EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR J JORDON OD (MEMBER BOARD OF DIRECTORS)
(570) 342-3145
Entity
Organization
Contact information
Practice address
200 MIFFLIN AVE, SCRANTON, PA 18503
(570) 342-3145
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503
(570) 342-3145
(570) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44005758
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/31/2006
Last updated
11/04/2019
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