Independence Corp

NPI #1235371683 in Coplay, Pennsylvania

Provider Information

NPI Number: 1235371683
Entity Type: Organization
Organization Name: Independence Corp
Subpart: Yes (part of a larger organization)
Parent Organization: INDEPENDENCE CORP
Primary Specialty: Optometrist
Enumeration Date: Apr 1, 2009
Last Updated: Apr 1, 2009

Practice Location

Address: 4119C MAUCH CHUNK RD
City: Coplay
State: Pennsylvania
ZIP Code: 18037-2106
Phone: (610) 799-2020

Authorized Official

Name: LISA PAUSINGER
Title: INS AR
Phone: (610) 799-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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