Organization
RICHARD E SHEAFFER & PHILLIP L WISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EDGAR SHEAFFER O.D. (PARTNER)
(570) 374-8136
Entity
Organization
Contact information
Practice address
326 BROAD ST, SELINSGROVE, PA 17870-1512
(570) 374-8136
(570) 374-0462
Mailing address
326 BROAD ST, SELINSGROVE, PA 17870-1512
(570) 374-8136
(570) 374-0462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001244
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012999300005
—
PA
01
—
12549200
CAPITAL BLUE CROSS
PA
01
—
1592
GEISINGER HEALTH PLAN
PA
Enumeration date
03/20/2006
Last updated
01/27/2010
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