Independence Corporation

NPI #1902048762 in Stroudsburg, Pennsylvania

Provider Information

NPI Number: 1902048762
Entity Type: Organization
Organization Name: Independence Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: INDEPENDENCE CORPORATION
Primary Specialty: Optometrist
Enumeration Date: Mar 25, 2009
Last Updated: Dec 15, 2011

Practice Location

Address: 1545 N 9TH ST
Address 2: SUITE 110
City: Stroudsburg
State: Pennsylvania
ZIP Code: 18360-9266
Phone: (570) 424-9988

Authorized Official

Name: LISA PAUSINGER
Title: INSURANCE A/R
Phone: (610) 799-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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