Organization
ALLEGANY OPTICAL LLC
Active
Other names
ALLEGANY OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J WHITELOCK O.D. (O.D. / MANAGING MEMBER)
(717) 263-2389
Entity
Organization
Contact information
Practice address
40 NOBLE BLVD, STE. 120, CARLISLE, PA 17013-4122
(717) 218-6656
(717) 243-0738
Mailing address
40 NOBLE BLVD, STE. 120, CARLISLE, PA 17013-4122
(717) 218-6656
(717) 243-0738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6000006116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007510100010
—
PA
05
—
1007510100011
—
PA
01
—
CJ5439
RAILROAD MEDICARE
—
Enumeration date
11/14/2007
Last updated
11/14/2007
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