Organization
FASHION EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDNOR G MILLER (OPTICIAN)
(717) 263-9470
Entity
Organization
Contact information
Practice address
916 LINCOLN WAY WEST, CHAMBERSBURG, PA 17202
(717) 263-9470
Mailing address
916 LINCOLN WAY WEST, CHAMBERSBURG, PA 17202
(717) 263-9470
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283346
BLUECROSS BLUESHEILD
PA
Enumeration date
02/22/2008
Last updated
02/24/2009
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