Active NPI
Independence Corporation
- Optometrist
- Lehighton, PA
National Provider Identifier
1023250883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- INDEPENDENCE CORPORATION
- Practice address
- 92 Blakeslee Boulevard Dr E
Lehighton, PA 18235-9045 - Phone
- (610) 379-9445
- Fax
- (610) 379-9447
- NPI assigned
- Mar 25, 2009
- Organization subpart
- Yes
- Parent organization
- INDEPENDENCE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Pausinger
- Title
- Insurance a/R
- Phone
- (610) 799-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
92 Blakeslee Boulevard Dr E
Lehighton, PA 18235-9045
Mailing address
4119C Mauch Chunk Rd
Coplay, PA 18037-2106
Phone (610) 799-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018518950002 | Medicaid | PA | |
| 0830100015 | Other | PA | MEDICARE PTAN |
Other names 1
- EYELAND OPTICAL
National Provider Directory
National Provider Directory- Part of
- Independence Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Whitehall, PA
- NPI 1972549657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338422400000",
"number": "1023250883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119C MAUCH CHUNK RD",
"city": "COPLAY",
"state": "PA",
"postal_code": "180372106",
"telephone_number": "610-799-2020",
"fax_number": "610-799-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 BLAKESLEE BOULEVARD DR E",
"city": "LEHIGHTON",
"state": "PA",
"postal_code": "182359045",
"telephone_number": "610-379-9445",
"fax_number": "610-379-9447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENCE CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDEPENDENCE CORPORATION",
"enumeration_date": "2009-03-25",
"last_updated": "2012-05-31",
"status": "A",
"authorized_official_last_name": "PAUSINGER",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "INSURANCE A/R",
"authorized_official_telephone_number": "610-799-2020"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018518950002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0830100015",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EYELAND OPTICAL",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lehighton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.