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Contact Information

PREMIER EYE CARE GROUP, INC.
3903 HARTZDALE DR
CAMP HILL, PA17011
 Phone: 717-761-3077
 Fax: 717-761-1186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PREMIER EYE CARE GROUP INC · (Female)

NPI Number 1538161989
Status Active
Credentials
Entity Individual
Enumeration date 08/15/2005
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # 6000004226
  • PA License # MD020133E
  • PA License # OEG000093
  • PA Medicaid 01471368
  • PA Medicaid 01823136
  • PA Other 2276000 CAPITAL BC
  • PA Other 756393 HIGHMARK BLUE SHIELD
  • PA Other 747187 HIGHMARK BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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