Organization
FREDERICKSBURG FAMILY EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA H GROFF O.D. (OWNER)
(717) 865-7225
Entity
Organization
Contact information
Practice address
121 S TAN ALY, FREDERICKSBURG, PA 17026-9349
(717) 865-7225
(717) 865-3154
Mailing address
PO BOX 369, 121 SOUTHTAN ALLEY, FREDERICKSBURG, PA 17026-0369
(717) 865-7225
(717) 865-3154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000859
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066141000
NSC#
PA
01
—
40540
DAVIS VISION
PA
01
—
FR1392866
BLUE SHIELD (PENNVISION)
PA
Enumeration date
04/01/2006
Last updated
07/22/2011
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