Organization
SISSON - BOYER EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE R. GINGRICH (BILLING MANAGER)
(717) 567-3103
Entity
Organization
Contact information
Practice address
7 CRAMER DR, NEWPORT, PA 17074-8720
(717) 567-3103
Mailing address
7 CRAMER DR, PO BOX 70, NEWPORT, PA 17074-8720
(717) 567-3103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000253
PA
152W00000X
Optometrist
Primary
OEG000258
PA
Other
Enumeration date
10/02/2009
Last updated
12/20/2010
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