Organization
OPTICAL NEI INC
Active
Other names
Town & Country Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CARROLL (CHIEF FINANCIAL OFFICER)
(570) 342-3145
Entity
Organization
Contact information
Practice address
679 KIDDER ST, WILKES BARRE, PA 18702-6908
(570) 825-3491
(570) 825-5654
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
(570) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018
GEISINGER VENDOR
PA
01
—
24783
GEISINGER
PA
01
—
26401
SPECTERA
—
01
—
287175
BLUE SHIELD
PA
01
—
296498
FEDERAL BS
PA
01
—
51632
DAVIS
—
01
—
OP1837
EYEMED
—
01
—
PA04368
VBA
—
01
—
PA04582
VBA
—
01
—
PA05026
VBA
—
01
—
PA18503
BS MICHIGAN
—
Enumeration date
08/21/2006
Last updated
12/27/2017
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