NPIMap

Organization Active NPI

Independence Corporation

Doing business as Eyeland Optical Inc.

  • Optometrist
  • Ephrata, PA
National Provider Identifier
1386928208
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDEPENDENCE CORPORATION
Doing business as
Eyeland Optical Inc.
Practice address
108 N Reading Rd
Ephrata, PA 17522-1668
Phone
(610) 853-4874
NPI assigned
Oct 11, 2011
Organization subpart
Yes
Parent organization
INDEPENDENCE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Messinger
Title
C.O.O
Phone
(610) 799-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

108 N Reading Rd
Ephrata, PA 17522-1668

Mailing address

4119 Mauch Chunk Rd # C
Coplay, PA 18037-2106
Phone (610) 799-2020

Other identifiers 1

IdentifierTypeStateIssuer
0018518950002MedicaidPA

Other names 1

  • Eyeland Optical Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
Independence Corp

Locations

752 S 25th St
Easton, PA 18042
Phone (215) 880-4952

108 N Reading Rd
Ste M
Ephrata, PA 17522
Phone (717) 733-5000

108 N Reading Rd
Ephrata, PA 17522
Phone (610) 853-4874

578 Susquehanna Blvd
Hazle Township, PA 18202
Phone (570) 459-2200

175 Interchange Rd
Lehighton, PA 18235
Phone (610) 349-9445

1545 N 9th St
Ste 110
Stroudsburg, PA 18360
Phone (570) 424-9988

2274 MacArthur Rd
Whitehall, PA 18052
Phone (610) 432-3937

2414 MacArthur Rd
Whitehall, PA 18052
Phone (610) 432-3937

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.

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1386928208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 MAUCH CHUNK RD # C",
            "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": "108 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221668",
            "telephone_number": "610-853-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDENCE CORPORATION",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "MESSINGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "C.O.O",
        "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"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeland Optical Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.