Independence Corporation
Organization Active NPI Optometrist · Whitehall, PA
NPI 1972549657 · NPPES record last updated Sep 28, 2015
Key facts
- NPI
- 1972549657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- INDEPENDENCE CORPORATION
- Practice address
- 2274 Macarthur Rd
Whitehall, PA 18052-4522 - Phone
- (610) 432-3937
- Fax
- (610) 432-0124
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa A Pausinger
- Title
- Insurance Admin
- Phone
- (610) 799-2020
Subparts reporting this organization as parent 13
Practitioners 34
-
Anthony DO, O.D.
-
Elizabeth Abigail Harris, O.D.
-
David Paul Hauk, O.D.
-
Miranda Maney, OD
-
David L Naugle, O.D.
-
Corbin Reppert, OD
-
Patrick Stone, O.D.
-
Caitlin Wallace, OD
-
David Michael Werner, O.D.
-
Kevin Chung, O.D.
-
John D Clouser, OD
-
Sabrina Kayla Jones, O.D.
-
Karenjit Kaur, OD
-
Jessica Deloglos, OD
-
Scott Teuscher, O.D.
-
Phuong Mai Dao Vu, O.D.
-
Tyler Reppert, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080616000088 | PA | Part B Supplier - Clinic/Group Practice | 0749351005 |
Receives reassigned benefits from 26 practitioners Practice locations: Mount Joy, PA; Williamsport, PA; Whitehall, PA; Temple, PA; Sinking Spring, PA; Shamokin Dam, PA; Pottsville, PA; Lehighton, PA… |
National Provider Directory
Locations
1900 W Front St
Berwick, PA 18603
Phone (570) 759-2325
725 S 25TH St
Easton, PA 18045
578 Susquehanna Blvd
Hazle Township, PA 18202
Phone (570) 459-2200
905 E Cumberland St
Lebanon, PA 17042
Phone (717) 228-2020
175 Interchange Rd
Lehighton, PA 18235
Phone (610) 349-9445
769 E Main St
Mount Joy, PA 17552
Phone (610) 799-2020
362 Pottsville Saint Clair Hwy
Pottsville, PA 17901
Phone (570) 620-2020
4301 Penn Ave
Ste E
Sinking Spring, PA 19608
Phone (610) 670-2020
1545 N 9th St
Stroudsburg, PA 18360
Phone (347) 514-0294
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2274 Macarthur Rd
Whitehall, PA 18052-4522
Mailing address
4119 Mauch Chunk Rd # C
Coplay, PA 18037-2106
Phone (610) 799-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018518950002 | Medicaid | PA |
Other names
- Eyeland Optical Inc.
Other providers in Whitehall, PA
- Alanna Moire Holmgren
- Lauren Horan
- Hugh E. Friel DDS MDS PC
- Shavar Marcus Hussett
- Nneka Ezinwanne Ikedinma
- Interstate Nursing Services Inc
- Rocio Ipanaque
- Glen C Jacob
- James K Shearer DMD PC
- Alexa Janda
All providers in Whitehall, 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 28, 2015. 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.