Geisinger Clinic
Optometrist in Wilkes Barre, PA. Organization (NPI-2).
NPI number1366492902
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1366492902
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Clinic
- Organization subpart
- No
- Enumeration date
- May 12, 2006
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
1000 E Mountain DrWilkes Barre, PA 18711
Phone 570-826-7300
Mailing address
100 N Academy AveDanville, PA 17822-3034
Other practice locations
21 Geisinger Ln
Lewistown, PA 17044-3400
Lewistown, PA 17044-3400
Phone 570-271-6144
Authorized official
Cindy L Mull
System Director Enrollments
5702716603
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