Organization
ALLEGANY OPTICAL LLC
Active
Other names
ALLEGANY OPTICAL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J WHITELOCK O.D. (O.D. / MANAGING MEMBER)
(717) 263-2389
Entity
Organization
Contact information
Practice address
341 BALTIMORE RD, SHIPPENSBURG, PA 17257-9404
(717) 532-8806
(717) 532-3421
Mailing address
341 BALTIMORE RD, SHIPPENSBURG, PA 17257-9404
(717) 532-8806
(717) 532-3421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6000003803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007510100010
—
PA
01
—
CJ5439
RAILROAD MEDICARE
PA
Enumeration date
11/15/2007
Last updated
11/15/2007
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