Organization
SUSQUEHANNA EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE M SADKA MD (OWNER)
(570) 748-8900
Entity
Organization
Contact information
Practice address
930 BELLEFONTE AVE, SUITE 108, LOCK HAVEN, PA 17745-2754
(570) 748-8900
(570) 748-3200
Mailing address
930 BELLEFONTE AVE, SUITE 108, LOCK HAVEN, PA 17745-2754
(570) 748-8900
(570) 748-3200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
025709E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014840800007
—
PA
01
—
50002341
CAPITAL BLUE CROSS
—
01
—
CD4803
RAILROAD MEDICARE
—
Enumeration date
12/04/2006
Last updated
10/20/2022
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