NPIMap

Organization Active NPI

Susquehanna Optical Inc

  • Eyewear Supplier
  • Lemoyne, PA
National Provider Identifier
1659590404
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SUSQUEHANNA OPTICAL INC
Practice address
717 Market St.
Suite 112
Lemoyne, PA 17043
Phone
(717) 346-2020
Fax
(717) 703-5715
NPI assigned
Apr 24, 2007
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Linda Paulson
Title
Office Manager
Phone
(717) 233-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

717 Market St.
Suite 112
Lemoyne, PA 17043

Mailing address

10 Capital Drive
Suite 300
Harrisburg, PA 17110
Phone (717) 233-3937

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10 Capital Dr
Ste 300
Harrisburg, PA 17110
Phone (717) 233-3937

2509 N Front St
Harrisburg, PA 17110
Phone (717) 233-3937

717 Market St
Ste 112
Lemoyne, PA 17043
Phone (717) 703-3937

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1659590404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CAPITAL DRIVE",
            "address_2": "SUITE 300",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17110",
            "telephone_number": "717-233-3937",
            "fax_number": "717-233-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 MARKET ST.",
            "address_2": "SUITE 112",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "17043",
            "telephone_number": "717-346-2020",
            "fax_number": "717-703-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-233-3937"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.