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Contact Information

NORTHEASTERN EYE INSTITUTE
200 MIFFLIN AVE
SCRANTON, PA18503
 Phone: 570-342-3145
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NORTHEASTERN EYE INSTITUTE

NPI Number 1366554172
LBN Legal business name NORTHEASTERN EYE INSTITUTE
Authorized official ARTHUR JORDON - (MEMBER BOARD OF DIRECTORS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 11/04/2019 - About 7 years ago
Identifiers
PA Other 44005758 HIGHMARK BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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