Independence Corporation
Organization Active NPI Optometrist · Temple, PA
NPI 1295977056 · NPPES record last updated Mar 6, 2012
Key facts
- NPI
- 1295977056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- INDEPENDENCE CORPORATION
- Practice address
- 4447 5TH Street Hwy
Temple, PA 19560-1753 - Phone
- (610) 929-4444
- Fax
- (610) 929-4099
- NPI assigned
- Mar 25, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- INDEPENDENCE CORPORATION
Authorized official
- Name
- Lisa Pausinger
- Title
- Insurance a/R
- Phone
- (610) 799-2020
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Independence Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
4447 5TH Street Hwy
Temple, PA 19560-1753
Mailing address
4119 Mauch Chunk Rd # C
Coplay, PA 18037-2106
Phone (610) 799-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018518950002 | Medicaid | PA |
Other names
- EYELAND OPTICAL
Other providers in Temple, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.