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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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