Independence Corp

NPI 1174765937 - Optometrist - 152W00000X

NPI Details
NPI 1174765937
Enumeration Date 03/25/2009
Last Updated 05/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LISA LISA
Position INS AR
Phone (610) 670-2020
Fax (610) 670-0973
Practice Location
4301 PENN AVE
SUITE E
SINKING SPRING PA, 19608-1370, US
Phone (610) 670-2020
Fax (610) 670-0973
Business Location
4119 MAUCH CHUNK RD # C
COPLAY PA, 18037-2106, US
Phone (610) 799-2020
Fax (610) 799-4399
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Independence Corp NPI is 1174765937, taxonomy code is 152W00000X Independence Corp physically located at 4301 Penn Ave, Sinking Spring PA, 19608-1370. NPI Number 1033115704 has the healthcare provider type.

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1174765937 NPI number is provided on an as is basis without warranty of any kind. 1174765937 is maintained by the National Plan & Provider Enumeration System. The contents of Independence Corp are for informational purposes only.