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Organization

LIMERICK EYE ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON MICHAEL PAIST O.D. (OPTOMETRIST/PRESIDENT)
(610) 495-6851
Entity
Organization

Contact information

Practice address
649 N LEWIS RD STE 120, LIMERICK, PA 19468-1234
(610) 495-6851
(610) 495-6853
Mailing address
649 N LEWIS RD STE 120, LIMERICK, PA 19468-1234
(610) 495-6851
(610) 495-6853

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000342
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3501720000
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
10/27/2007
Last updated
06/24/2008
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