Organization Name: | MARK L HEPNER OPTOMETRIST LLC |
NPI Number: | 1154610251 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK L HEPNER (OWNER) |
Mailing Address: | 309 N 5th St Sunbury |
State: | PA US |
Postal Code: | 178012000 |
Phone Number: | 5702862541 |
Fax Number: | 5702864180 |
NPI Enumeration Date: | 03/30/2011 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OE007711-P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |