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THE FISHIN' BUDDIES INC. NPI 1891893483


NPI Information

NPI: 1891893483
Provider Name: THE FISHIN' BUDDIES INC.

Doing Business As: CRYSTAL VISION CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
3650 NAZARETH PIKE
BETHLEHEM VILLAGE SHOPPES
BETHLEHEM, PA
ZIP 18020
Phone: (610) 865-9900
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THE FISHIN' BUDDIES INC. is an optometrist in Bethlehem, PA. The provider is 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. THE FISHIN' BUDDIES INC. NPI is 1891893483. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Crystal Vision Center.

The provider's business location address is:

3650 NAZARETH PIKE
BETHLEHEM VILLAGE SHOPPES
BETHLEHEM, PA
ZIP 18020-115
Phone: (610) 865-9900
Fax: (610) 865-3446

The provider's authorized official is Matthew Alexander Nowik .
The authorized official title is Manager and has the following contact phone number (610) 865-9900.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOEG000927PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1405869JKDMEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
20070423700002OTHERPENNSYLVANIAMA #
3T30205MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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