MR. ANTHONY SIMMONS


Address: 220 W Plum St Ste 310, Edinboro, PA 16412-2166
Phone: 8145804176

MR. ANTHONY SIMMONS (NPI# 1740653252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740653252
Entity Type Individual
Full Name MR. ANTHONY SIMMONS
Credential ABOC
Practice Address 220 W Plum St Ste 310
Edinboro
PA 16412-2166
Practice Telephone 8145804176
Practice Fax Number 8145804176
Mailing Telephone 8145804176
Mailing Fax Number 8145804176
Enumeration Date 2015-11-05
Last Update Date 2015-12-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
138298 PA Eye and Vision Services Providers

Office Location

Street Address 220 W PLUM ST STE 310
City EDINBORO
State PA
Zip Code 16412-2166

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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City EDINBORO
Zip Code 16412

Improve Information

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Dataset Information

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.

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