Organization
DESIGNER EYEGLASS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SPOTTS O.D. (OPTOMETRIST)
(570) 286-3944
Entity
Organization
Contact information
Practice address
1125 N 4TH ST, SUNBURY, PA 17801-1229
(570) 286-3944
Mailing address
1125 N 4TH ST, SUNBURY, PA 17801-1229
(570) 286-3944
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000756441
BLUE SHIELD HIGHMARK
PA
01
—
393870
NATIONAL VISION ADMINISTR
PA
Enumeration date
01/04/2007
Last updated
05/08/2008
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