NPIMap

Organization Active NPI

Independence Corporation

Doing business as Eyeland Optical Inc.

  • Optometrist
  • Whitehall, PA
National Provider Identifier
1972549657
Registry record updated Sep 28, 2015
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
2274 Macarthur Rd
Whitehall, PA 18052-4522
Phone
(610) 432-3937
Fax
(610) 432-0124
NPI assigned
Jun 21, 2006
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Mrs. Lisa A Pausinger
Title
Insurance Admin
Phone
(610) 799-2020

Specialties & licenses 1

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

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 names 1

  • Eyeland Optical Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

725 S 25TH St
Easton, PA 18045

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

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

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

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

769 E Main St
Mount Joy, PA 17552
Phone (610) 799-2020

4301 Penn Ave
Ste E
Sinking Spring, PA 19608
Phone (610) 670-2020

Ownership & related parties

Subparts reporting this organization as parent 13

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 13

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1972549657",
    "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": "2274 MACARTHUR RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180524522",
            "telephone_number": "610-432-3937",
            "fax_number": "610-432-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "PAUSINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE ADMIN",
        "authorized_official_telephone_number": "610-799-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeland Optical Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.