Organization
INDEPENDENCE CORPORATION
Active
Other names
Eyeland Optical Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A PAUSINGER (INSURANCE ADMIN)
(610) 799-2020
Entity
Organization
Contact information
Practice address
2274 MACARTHUR RD, WHITEHALL, PA 18052-4522
(610) 432-3937
(610) 432-0124
Mailing address
4119 MAUCH CHUNK RD # C, COPLAY, PA 18037-2106
(610) 799-2020
(610) 799-4399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018518950002
—
PA
Enumeration date
06/21/2006
Last updated
09/28/2015
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