Independence Corporation
NPI #1407098908 in Shamokin Dam, Pennsylvania
Provider Information
- NPI Number
- 1407098908
- Entity Type
- Organization
- Organization Name
- Independence Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INDEPENDENCE CORPORATION
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 30, 2009
- Last Updated
- Mar 6, 2012
Practice Location
- Address
- 3090 N SUSQUEHANNA TRAIL RD
- City
- Shamokin Dam
- State
- Pennsylvania
- ZIP Code
- 17876
- Phone
- (570) 743-3937
Authorized Official
- Name
- LISA PAUSINGER
- Title
- INS AR
- Phone
- (610) 799-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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