INDEPENDENCE CORPORATION (NPI# 1063654838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063654838 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE CORPORATION |
| Other Organization Name | EYELAND OPTICAL |
| Practice Address |
905 E Cumberland St Lebanon PA 17042-8102 |
| Mailing Address |
4119 Mauch Chunk Rd # C Coplay PA 18037-2106 |
| Practice Telephone | 7172282020 |
| Practice Fax Number | 7172281776 |
| Mailing Telephone | 6107992020 |
| Mailing Fax Number | 6107994399 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | LISA PAUSINGER (INS AR) |
| Authorized Official Telephone | 6107992020 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDEPENDENCE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018518950002 | 05 |
| Other Name | Type Code |
|---|---|
| EYELAND OPTICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619357845 | Independence Corporation | Optometrist | 769 E Main St, Mount Joy, PA 17552-9510 | 2015-06-03 |
| 1386928208 | Independence Corporation | Optometrist | 108 N Reading Rd, Ephrata, PA 17522-1668 | 2011-10-11 |
| 1861634362 | Independence Corporation | Optometrist | 362 St Clair Hwy, Rt 61 S, Pottsville, PA 17901-3876 | 2009-03-30 |
| 1407098908 | Independence Corporation | Optometrist | 3090 N Susquehanna Trail Rd, Shamokin Dam, PA 17876 | 2009-03-30 |
| 1902048762 | Independence Corporation | Optometrist | 1545 N 9th St, Suite 110, Stroudsburg, PA 18360-9266 | 2009-03-25 |
| 1952543720 | Independence Corporation | Optometrist | 1900 W Front St, Berwick, PA 18603-4211 | 2009-03-25 |
| 1023250883 | Independence Corporation | Optometrist | 92 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9045 | 2009-03-25 |
| 1972549657 | Independence Corporation | Optometrist | 2274 Macarthur Rd, Whitehall, PA 18052-4522 | 2006-06-21 |
| 1770725590 | Independence Corporation | Optometrist | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 | 2009-03-25 |
| 1407098270 | Independence Corporation | Optometrist | 752 S 25th St, Easton, PA 18042-5337 | 2009-03-25 |
| Street Address |
905 E CUMBERLAND ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731250 | Caitlin Squires | Optometrist | 90 Market St Ste 20, Lebanon, OR 97355-2396 | 2019-07-03 |
| 1083100424 | Myeyedr Optometry of Indiana, LLC | Optometrist | 2705 N Lebanon St Ste 230, Lebanon, IN 46052-8627 | 2018-07-09 |
| 1184118747 | Brian Swoyer | Optometrist | 758 Cumberland St, Lebanon, PA 17042-5247 | 2018-06-18 |
| 1841727286 | Tyler Ross Boone | Optometrist | 404 N Castle Heights Ave Ste A, Lebanon, TN 37087-1512 | 2017-05-16 |
| 1104255942 | Eyecare Indiana | Optometrist | 1202 N Lebanon St, Lebanon, IN 46052-1510 | 2013-11-02 |
| 1407160120 | Mascoma Eyecare | Optometrist | 24 Hanover Street, Suite 3a, Lebanon, NH 03766-1334 | 2010-08-05 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| 1659407989 | Melissa Sue Kerby | Optometrist | 1001 Monroe Rd, Lebanon, OH 45036-1414 | 2007-02-23 |
| 1144378480 | William Grant IIi | Optometrist | 19595 Houston Rd, Lebanon, MO 65536-8252 | 2007-01-05 |
| 1336213024 | William Lee Huffman | Optometrist | 40 N 8th St, Lebanon, PA 17046 | 2006-11-17 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.