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CPMOPTOMETRY LLC NPI 1578039574


NPI Information

NPI: 1578039574
Provider Name: CPMOPTOMETRY LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
WALMART VISION
3271 PA 940
MT POCONO, PA
ZIP 17325
Phone: (570) 895-4791
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CPMOPTOMETRY LLC is a point of service in Mt Pocono, PA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CPMOPTOMETRY LLC NPI is 1578039574. The provider is registered as an organization entity type.

The provider's business location address is:

WALMART VISION
3271 PA 940
MT POCONO, PA
ZIP 17325
Phone: (570) 895-4791
Fax: (570) 895-4793

The provider's authorized official is Charles Morgan .
The authorized official title is Optometrist and has the following contact phone number (570) 895-4791.

The enumeration date for this NPI number is 10/17/2018 and was last updated on 3/14/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of ServiceYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111729544OTHERWYOMINGCAHQ

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: 5/5/2024

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