Individual
DR. MICHELE Y. SHADE-HINCHLIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
142 SHOEMAKER RD, POTTSTOWN, PA 19464-6430
(610) 326-1106
(610) 326-1108
Mailing address
142 SHOEMAKER RD, POTTSTOWN, PA 19464-6430
(610) 326-1106
(610) 326-1108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-000169
PA
332B00000X
Durable Medical Equipment & Medical Supplies
OEG-000169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000680822
INDEPENDENCE BLUE CROSS
PA
01
—
0514846000
KEYSTONE EAST
PA
01
—
28837
AETNA
PA
Enumeration date
01/09/2007
Last updated
01/10/2012
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