Organization Name: | WAYNE OPTICAL CO |
NPI Number: | 1801943287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON W ESTEP (OWNER) |
Mailing Address: | 1417 N George St York |
State: | PA US |
Postal Code: | 174042014 |
Phone Number: | 7178466131 |
Fax Number: | 7178433937 |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |