Organization
LEBANON EYECARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RITTLE ABOC (GENERAL MANAGER)
(717) 272-3068
Entity
Organization
Contact information
Practice address
2627 WEST CUMBERLAND STREET, LEBANON, PA 17042
(717) 272-3068
(717) 272-1682
Mailing address
2627 WEST CUMBERLAND STREET, LEBANON, PA 17042
(717) 272-3068
(717) 272-1682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2519696386
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02448800
NCAS
PA
01
—
1245490001
HEALTHNOW (DMERC)
PA
01
—
2075558
AETNA
PA
01
—
3000058
KEYSTONE HEALTH PLAN
PA
01
—
32735
HEALTHGUARD
PA
01
—
396296
NATIONAL VISION ADMIN.
PA
01
—
4482
GEISINGER
PA
01
—
LE743579
FEDERAL EMPLOYEE PROGRAM
PA
01
—
PA6663
EYEMED
PA
Enumeration date
06/21/2005
Last updated
02/08/2022
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