Eagle Optometric PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000459 Issued in PA

Legal business name

EAGLE OPTOMETRIC PC

Practice address

578 Susquehanna Blvd
Hazle Township, PA 18202-3233

Phone

(610) 310-9946

NPI assigned

May 12, 2014

Last updated

May 12, 2014By 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. David A Cronauer, O.D.

Title

Owner

Phone

(610) 310-9946

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1295146496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833340",
            "telephone_number": "610-310-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 SUSQUEHANNA BLVD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023233",
            "telephone_number": "610-310-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "CRONAUER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-310-9946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane J Doornbos, PA-C
• Joseph Dougherty III, PTA
• Victoria Rose Downey, PA-C
• Dr Sandra M Krokos & Thomas P Kislan PC (Hazleton Eye Specialists)
• Hailey Dwyer, PA-C
• Rhina Elliot, DDS
• Endocrinology Clinic P.C.
• Endodontic Specialists of Nepa, P.C.
• Gabrielle Engelke, PTA
• Mboutidem Etokakpan, MD

• Optometrist in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.