1962444588 NPI number — STIRLING EYECARE CENTER

Table of content: (NPI 1962444588)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962444588 NPI number — STIRLING EYECARE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STIRLING EYECARE CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962444588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
166 POINT PLAZA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16001-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-285-2618
Provider Business Mailing Address Fax Number:
724-285-7507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
166 POINT PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-285-2618
Provider Business Practice Location Address Fax Number:
724-285-7507
Provider Enumeration Date:
06/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GONALEZ
Authorized Official First Name:
CLAUDIA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-285-2618

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 41844 . This is a "SPECTERA VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 142467 . This is a "HIGHMARK GROUP #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: TAX ID , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 322758 . This is a "HEALTH AMER/H ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 396428 . This is a "NVA GROUP #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 51781 . This is a "DAVIS VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: PA7425 . This is a "VBA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5016661 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 910908 . This is a "EYEMED VISION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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