Custom Eyes Rx Inc in Matamoras - Health Service
Custom Eyes Rx Inc - NPI 1982732715
Custom Eyes Rx Inc is a Health Service in Matamoras, Pennsylvania. Custom Eyes Rx Inc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Custom Eyes Rx Inc is 1982732715. The last update date is 2008-06-23.
Custom Eyes Rx Inc's current location address is 111 Hulst Dr Ste 706, Matamoras, Pennsylvania. You can contact this provider via phone number 5704915454 and fax number 5704912895. The mailing address for Custom Eyes Rx Inc is 111 Hulst Dr Ste 706, Matamoras, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Custom Eyes Rx Inc |
|---|---|
| Address | 111 Hulst Dr Ste 706, Matamoras, Pennsylvania |
| Phone Number | 5704915454 |
| Fax Number | 5704912895 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Liegner Todd Jeffrey |
| Credentials | MD |
| Telephone Number | 9737295757 |
NPI Number Detail
| NPI Number | 1982732715 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 111 Hulst Dr Ste 706 |
|---|---|
| City | Matamoras |
| State | Pennsylvania (PA) |
| Post Code | 183362115 |
| Phone Number | 5704915454 |
| Fax Number | 5704912895 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
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Definition: Provides general outpatient medical care by physicians and other providers. |
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What is the Custom Eyes Rx Inc's 1982732715?
The Custom Eyes Rx Inc's NPI (National Provider Identifier) Number is 1982732715. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Custom Eyes Rx Inc located?
The Custom Eyes Rx Inc is located at 111 Hulst Dr Ste 706, Matamoras, PA 183362115.
What is Custom Eyes Rx Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Custom Eyes Rx Inc is Health Service, and the taxonomy code that classifies this field of practice is 261Qh0100X.
On what date did the Custom Eyes Rx Inc receive its 1982732715 assignment from the Centers for Medicare & Medicaid Services?
The Custom Eyes Rx Inc was assigned its 1982732715 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date was the information regarding Custom Eyes Rx Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Custom Eyes Rx Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-23.