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Organization

INDEPENDENCE CORPORATION

Active
Parent organization
INDEPENCE CORPORATION
Other names
Eyeland Optical Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
INDEPENCE CORPORATION
Authorized official
LISA PAUSINGER (BILLING MANAGER)
(610) 799-2020
Entity
Organization

Contact information

Practice address
769 E MAIN ST, MOUNT JOY, PA 17552-9510
(610) 799-2020
(610) 766-4399
Mailing address
4119 MAUCH CHUNK RD # C, COPLAY, PA 18037-2106
(717) 492-4578
(717) 928-4170

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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