Hershey Pediatric Ophthalmology Associates, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

HERSHEY PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.C.

Practice address

1044 Cocoa Ave
Hershey, PA 17033-1709

Phone

(717) 533-4411

Fax

(717) 533-3072

NPI assigned

Jul 9, 2006

Last updated

Apr 21, 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

James Wilmer McManaway III, M.D.

Title

President

Phone

(717) 533-4411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1588697734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331709",
            "telephone_number": "717-533-4411",
            "fax_number": "717-533-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331709",
            "telephone_number": "717-533-4411",
            "fax_number": "717-533-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSHEY PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "MCMANAWAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-533-4411",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristy Hertzog, MD

• Ophthalmology Physician in Hershey, PA
• Providers in Hershey, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.