Organization Active NPI

Independence Corporation

Doing business as Eyeland Optical

  • Optometrist
  • Easton, PA
National Provider Identifier
1407098270
Registry record updated Mar 6, 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
752 S 25TH St
Easton, PA 18042-5337
Phone
(610) 253-3939
Fax
(610) 253-0124
NPI assigned
Mar 25, 2009
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
INDEPENDENCE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Lisa Pausinger
Title
Ins Ar
Phone
(610) 799-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

752 S 25TH St
Easton, PA 18042-5337

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 Doing business as

National Provider Directory

National Provider Directory
Part of
Independence Corp

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": "1330992000000",
    "number": "1407098270",
    "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": "752 S 25TH ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180425337",
            "telephone_number": "610-253-3939",
            "fax_number": "610-253-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDEPENDENCE CORPORATION",
        "enumeration_date": "2009-03-25",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "PAUSINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "INS AR",
        "authorized_official_telephone_number": "610-799-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.