Geisinger Clinic
Organization Active NPI Optometrist · Wilkes Barre, PA
NPI 1366492902 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1366492902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- GEISINGER CLINIC
- Practice address
- 1000 E Mountain Dr
Wilkes Barre, PA 18711 - Phone
- (570) 826-7300
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy L Mull
- Title
- System Director Enrollments
- Phone
- (570) 271-6603
Corporate family (same tax ID) 24
Member of 2
Practitioners 4
-
Alissa M Coyne, OD
-
Michael Peter Higgins, O.D.
-
Shannon Tara Scheuren, O.D.
-
James F Wilmarth, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000518 | PA | Part B Supplier - Clinic/Group Practice | 5395657001 |
Receives reassigned benefits from 5,323 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1000 E Mountain Dr
Wilkes Barre, PA 18711
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Other practice location 1
21 Geisinger Ln
Lewistown, PA 17044-3400
Phone (570) 271-6144
Other providers in Wilkes Barre, PA
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
All providers in Wilkes Barre, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.