Organization
WYOMISSING OPTOMETRIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN S CORBIN O.D. (PRESIDENT)
(610) 374-3134
Entity
Organization
Contact information
Practice address
1050 BENJAMIN FRANKLIN HIGHWAY WEST, DOUGLASSVILLE, PA 19518
(610) 385-4333
(610) 385-0484
Mailing address
50 BERKSHIRE CT, WYOMISSING, PA 19610-1219
(610) 374-3134
(610) 374-0484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020572000
INEPENDENCE BC/BS
PA
01
—
0020592000
KEYSTONE EAST GROUP #
PA
01
—
0050038
AETNA/HMO
PA
01
—
02525100
KEYSTONE SENIOR BLUE GROUP #
PA
01
—
1366404345
GEISINGER HEALTH PLAN
PA
01
—
29436
SPECTERA
PA
01
—
338133
HEALTH AMERICA/HEALTH ASS
PA
01
—
429305
HIGHMARK/BLUE SHIELD
PA
01
—
54384
DAVIS AFFINITY
PA
01
—
5586009
AETNA TRADITIONAL/PPO
PA
01
—
CM6302
MEDICARE RAILROAD
PA
Enumeration date
10/15/2007
Last updated
08/04/2009
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