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Contact Information

BOARDMAN FAMILY EYE CARE PC
889 CRAFTMASTER ROAD
WYSOX, PA18854-0000
 Phone: 570-265-3668
 Fax: 570-265-8936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BOARDMAN FAMILY EYE CARE PC

NPI Number 1366627275
LBN Legal business name BOARDMAN FAMILY EYE CARE PC
Authorized official AVERY BOARDMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2008
Last updated 10/24/2011 - About 15 years ago
Identifiers
PA License # OEG000896
PA Other DR8207 MEDICARE RAILROAD
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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