SPECTACULAR EYEWEAR


Address: 940 S Queen St, York, PA 17403-3946
Phone: 7176994444

SPECTACULAR EYEWEAR (NPI# 1063517373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063517373
Entity Type Organization
Organization Name SPECTACULAR EYEWEAR
Practice Address 940 S Queen St
York
PA 17403-3946
Practice Telephone 7176994444
Practice Fax Number 7178549543
Mailing Telephone 7176994444
Mailing Fax Number 7178549543
Enumeration Date 2006-09-13
Last Update Date 2020-08-22
Authorized Official Name DONNA E ESKRIDGE (PARTNER)
Authorized Official Telephone 7176994444
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA BLUE SHIELD 243997 01
PA CAPITAL BLUE CROSS 50010000 01

Office Location

Street Address 940 S QUEEN ST
City YORK
State PA
Zip Code 17403-3946

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1629159090 Wal-mart Stores East, Lp Technician/Technologist 2801 E Market St Bldg B, York, PA 17402-2406 2006-10-18
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Competitor

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City YORK
Zip Code 17403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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