Organization Active NPI

Independence Corporation

Doing business as Eyeland Optical

  • Optometrist
  • Lehighton, PA
National Provider Identifier
1023250883
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDEPENDENCE CORPORATION
Doing business as
Eyeland Optical
Practice address
92 Blakeslee Boulevard Dr E
Lehighton, PA 18235-9045
Phone
(610) 379-9445
Fax
(610) 379-9447
NPI assigned
Mar 25, 2009
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
INDEPENDENCE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2012

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • EYELAND OPTICAL Doing business as

National Provider Directory

National Provider Directory
Part of
Eyeland Optical

Locations

92 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (610) 349-9445

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.

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": [],
    "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.

Verify at the official NPI Registry.