Corl Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001986 Issued in PA

Legal business name

CORL EYECARE, LLC

Doing business as

Corl Family Eyecare, LLC

Practice address

2901 Horseshoe Pike
Palmyra, PA 17078

Phone

(717) 473-3802

Fax

(717) 641-3074

NPI assigned

Oct 9, 2015

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy R Corl, O.D.NPI 1962694174

Title

Owner, Doctor

Phone

(717) 269-5346

Specialties & licenses 1

Addresses

Other names 1

• Corl Family Eyecare, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Ryan Corl, O.D.

  • Optometrist
  • Palmyra, PA
  • NPI 1962694174
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Helen Eisenhower, OD

  • Optometrist
  • Palmyra, PA
  • NPI 1932879004
  Medicare reassignment Care Compare group NPD
• Renee Desmond Houser

  • Optometrist
  • Lebanon, PA
  • NPI 1730747536
  Medicare reassignment Care Compare group NPD
• Brian Swoyer, OD

  • Optometrist
  • Harrisburg, PA
  • NPI 1184118747
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1003287558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 HORSESHOE PIKE",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "17078",
            "telephone_number": "717-473-3802",
            "fax_number": "717-641-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 HORSESHOE PIKE",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "17078",
            "telephone_number": "717-473-3802",
            "fax_number": "717-641-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORL EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "CORL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "717-269-5346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corl Family Eyecare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tina Jane Copeland, P.T.
• Timothy Ryan Corl, O.D.
• Crosstown Dental Group
• Jill Beth D'Amico, D.O.
• Melissa Dailey
• Page M Davis

• Optometrist in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.