National Provider Identifier Database

INDEPENDENCE CORPORATION
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.


Contact Information

INDEPENDENCE CORPORATION
3090 N SUSQUEHANNA TRAIL RD
SHAMOKIN DAM, PA17876
Phone: 570-743-3937
Fax: 570-743-3005
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for INDEPENDENCE CORPORATION

NPI Number 1407098908
Legal business name
LBN
INDEPENDENCE CORPORATION
Authorized official LISA PAUSINGER - (INS AR)
Entity Organization
Organization subpart Yes
Enumeration date 03/30/2009
Last updated 03/06/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 0018518950002

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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