Organization
LEBANON OPHTHALMIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAM BUSH MD (OWNER/OPHTHALMOLOGIST)
(717) 272-2161
Entity
Organization
Contact information
Practice address
770 NORMAN DR, LEBANON, PA 17042-7495
(717) 272-2161
(717) 270-0301
Mailing address
770 NORMAN DR, LEBANON, PA 17042-7495
(717) 272-2161
(717) 270-0301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE008055T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012029400001
—
PA
Enumeration date
07/13/2006
Last updated
08/22/2020
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