Organization
HAZLETON EYE CENTER, INC.
Active
Other names
Hazleton Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI A. BINDAS (PRACTICE ADMINISTRATOR)
(570) 454-6302
Entity
Organization
Contact information
Practice address
1201A N CHURCH ST, SUITE 100, HAZLE TOWNSHIP, PA 18202-1443
(570) 454-6302
(570) 454-3564
Mailing address
1201A NORTH CHURCH STREET, SUITE 100, HAZLE TOWNSHIP, PA 18202-1443
(570) 454-6302
(570) 454-3564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001270
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026863040001
—
PA
01
—
788699
MEDICARE PTAN
PA
Enumeration date
06/06/2006
Last updated
05/18/2012
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