Organization Name: | MYERSTOWN FAMILY EYE CARE, INC. |
NPI Number: | 1073551743 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL D BURKHART (PRESIDENT) |
Mailing Address: | 356 W Main Ave Myerstown |
State: | PA US |
Postal Code: | 170671023 |
Phone Number: | 7178661400 |
Fax Number: | 7178669954 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OEG 000422 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |