Organization
LEHIGH VALLEY EYE CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. DOUGLAS QUAY O.D. (MANAGING MEMBER)
(610) 432-3258
Entity
Organization
Contact information
Practice address
2030 W TILGHMAN ST, SUITE 101, ALLENTOWN, PA 18104-4354
(610) 432-3258
(610) 289-2100
Mailing address
2030 W TILGHMAN ST, SUITE 101, ALLENTOWN, PA 18104-4354
(610) 432-3258
(610) 289-2100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-G002155
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003330
AETNA
PA
01
—
000764617
HIGHMARK BLUE SHIELD
PA
01
—
0201390001
MEDICARE DMERC
PA
01
—
02419600
CAPITAL BLUE CROSS
PA
01
—
410004225
RAIL ROAD MEDICARE
PA
01
—
OE-G002155
LICENSE NUMBER
PA
Enumeration date
09/22/2010
Last updated
03/22/2012
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