DR. WAYNE A. MUNDIS; NPI #1386825644

Contact Information

DR. WAYNE A. MUNDIS

46 WATER ST
GLEN ROCK, PA 17327-1011

Phone: 717-235-1346
Fax: 717-235-4843
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for DR. WAYNE A. MUNDIS

NPI Number 1386825644

LBN Legal business name DR. WAYNE A. MUNDIS

Authorized official WAYNE MUNDIS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/15/2007

Last updated 11/15/2007 - About 19 years ago

Identifiers

PA	License #	5274-P
PA	Other	0516520001	DMERC REGION A

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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DR. WAYNE A. MUNDIS

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for DR. WAYNE A. MUNDIS

Reviews for DR. WAYNE A. MUNDIS