Organization
MT BETHEL EYE CARE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DIMARCO O.D. (PRESIDENT / OPTOMETRIST)
(570) 897-5911
Entity
Organization
Contact information
Practice address
9 MOUNT BETHEL PLZ, MOUNT BETHEL, PA 18343-5212
(570) 897-5911
(570) 897-5908
Mailing address
9 MOUNT BETHEL PLZ, MOUNT BETHEL, PA 18343-5212
(570) 897-5911
(570) 897-5908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000111
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000111
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02095801
KEYSTONE
PA
01
—
02886800
CAPITAL BLUE CROSS
PA
01
—
1253981001
CIGNA
PA
01
—
176529873
AMERIHEALTH ADM.
PA
01
—
396396
NATIONAL VISION ADM.
PA
01
—
465212
AETNA
PA
01
—
5708975911
VISION SERVICE PLAN
PA
01
—
751252
KEYSTONE
PA
01
—
G521252
AMERIHEALTH ADM.
PA
Enumeration date
01/12/2006
Last updated
08/13/2024
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