Provider Type Icon

MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA NPI 1477511442


NPI Information

NPI: 1477511442
Provider Name: MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA

Doing Business As: MASONIC VILLAGE AT ELIZABETHTOWN

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1 MASONIC DR
ELIZABETHTOWN, PA
ZIP 17022
Phone: (717) 367-1121
Get Directions

MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA is an optometrist in Elizabethtown, 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. MASONIC HOMES AT ELIZABETHTOWN GD LDG OF FREE & ACCPTD MASONS PA NPI is 1477511442. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Masonic Village At Elizabethtown.

The provider's business location address is:

1 MASONIC DR
ELIZABETHTOWN, PA
ZIP 17022-199
Phone: (717) 367-1121
Fax: (717) 367-5813

The provider's authorized official is William J. Prazenica .
The authorized official title is Chief Financial Officer and has the following contact phone number (717) 367-1121.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 3/18/2009.


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
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3213E00000XPodiatristNo
4363L00000XNurse PractitionerNo
5207W00000XOphthalmologyNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7152W00000XOptometristYes

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
1080101802MEDICARE PINPENNSYLVANIA
2513779MEDICARE PINPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.