INDEPENDENCE CORPORATION (NPI# 1407098908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407098908 |
Entity Type | Organization |
Organization Name | INDEPENDENCE CORPORATION |
Other Organization Name | EYELAND OPTICAL INC |
Practice Address |
3090 N Susquehanna Trail Rd Shamokin Dam PA 17876 |
Mailing Address |
4119 Mauch Chunk Rd # C Coplay PA 18037-2106 |
Practice Telephone | 5707433937 |
Practice Fax Number | 5707433005 |
Mailing Telephone | 6107992020 |
Mailing Fax Number | 6107994399 |
Enumeration Date | 2009-03-30 |
Last Update Date | 2012-03-06 |
Authorized Official Name | LISA PAUSINGER (INS AR) |
Authorized Official Telephone | 6107992020 |
Is Organization Subpart | Y |
Parent Organization Name | INDEPENDENCE CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0018518950002 | 05 |
Other Name | Type Code |
---|---|
EYELAND OPTICAL INC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619357845 | Independence Corporation | Optometrist | 769 E Main St, Mount Joy, PA 17552-9510 | 2015-06-03 |
1386928208 | Independence Corporation | Optometrist | 108 N Reading Rd, Ephrata, PA 17522-1668 | 2011-10-11 |
1861634362 | Independence Corporation | Optometrist | 362 St Clair Hwy, Rt 61 S, Pottsville, PA 17901-3876 | 2009-03-30 |
1902048762 | Independence Corporation | Optometrist | 1545 N 9th St, Suite 110, Stroudsburg, PA 18360-9266 | 2009-03-25 |
1952543720 | Independence Corporation | Optometrist | 1900 W Front St, Berwick, PA 18603-4211 | 2009-03-25 |
1063654838 | Independence Corporation | Optometrist | 905 E Cumberland St, Lebanon, PA 17042-8102 | 2009-03-25 |
1023250883 | Independence Corporation | Optometrist | 92 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9045 | 2009-03-25 |
1972549657 | Independence Corporation | Optometrist | 2274 Macarthur Rd, Whitehall, PA 18052-4522 | 2006-06-21 |
1770725590 | Independence Corporation | Optometrist | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 | 2009-03-25 |
1407098270 | Independence Corporation | Optometrist | 752 S 25th St, Easton, PA 18042-5337 | 2009-03-25 |
Street Address |
3090 N SUSQUEHANNA TRAIL RD |
City | SHAMOKIN DAM |
State | PA |
Zip Code | 17876 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679898340 | Steven Wayne Davis | Pharmacist | 1000 N Susquehanna Trail, Shamokin Dam, PA 17876 | 2010-04-06 |
1083786446 | Shamokin Dam Health Center | Chiropractor | 3166 N Old Trail, Shamokin Dam, PA 17876 | 2006-11-14 |
1578671079 | John G Lazur Jr. | Dentist | 2 Baldwin Blvd., Shamokin Dam, PA 17876 | 2006-08-26 |
1033140017 | K Mart Corp | Pharmacy | North Susquehanna Trail, Shamokin Dam, PA 17876 | 2006-07-06 |
1891781118 | Drs Munir & Samad | Internal Medicine | 99 Baldwin Blvd, Shamokin Dam, PA 17876 | 2005-09-22 |
1932194271 | Susquehanna Valley Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 3120 N Old Trail, Shamokin Dam, PA 17876 | 2005-09-13 |
1891867255 | Shamokin Dam Health Center | Family Medicine | 3166 N Old Trail, Shamokin Dam, PA 17876 | 2006-11-14 |
1962516997 | Mohammad Abdul Samad | Internal Medicine | 99 Baldwin Blvd, Shamokin Dam, PA 17876 | 2006-08-18 |
1952369209 | Nalan Reibschied | Emergency Medicine | 99 Baldwin Blvd, Shamokin Dam, PA 17876 | 2006-05-03 |
1992828396 | Basant K. Mittal, M.d. P.C. | Clinic/Center | 3032 N. Susquehanna Trail, Routes 11 and 15, Shamokin Dam, PA 17876-0429 | 2007-04-09 |
Find all providers in zip 17876 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
Find all providers with the same taxonomy |
City | SHAMOKIN DAM |
Zip Code | 17876 |
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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.