INDEPENDENCE CORPORATION (NPI# 1770725590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770725590 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE CORPORATION |
| Other Organization Name | EYELAND OPTICAL |
| Practice Address |
1831 Lycoming Creek Rd Williamsport PA 17701-1523 |
| Mailing Address |
4119 Mauch Chunk Rd # C Coplay PA 18037-2106 |
| Practice Telephone | 5703231111 |
| Practice Fax Number | 5703238805 |
| Mailing Telephone | 6107992020 |
| Mailing Fax Number | 6107994399 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | LISA PAUSINGER (INSURANCE 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 |
| 1063654838 | Independence Corporation | Optometrist | 905 E Cumberland St, Lebanon, PA 17042-8102 | 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 |
| 1407098270 | Independence Corporation | Optometrist | 752 S 25th St, Easton, PA 18042-5337 | 2009-03-25 |
| Street Address |
1831 LYCOMING CREEK RD |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336185495 | Thomas Robert Piccirilli | Optometrist | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1487798658 | Robert Thomas Nible | Optometrist | 801 Shiffler Ave, Williamsport, PA 17701-3733 | 2007-02-19 |
| 1437232915 | Thomas J Gmitter | Optometrist | 567 E Third St, Williamsport, PA 17701 | 2006-10-20 |
| 1861426660 | Curtis Paul Phibbs | Optometrist | 567 E 3rd St, Williamsport, PA 17701-5316 | 2006-07-10 |
| 1336185495 | Thomas Robert Piccirilli | Optometrist | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 | 2006-06-20 |
| 1629033220 | Steven M. Kriner | Optometrist | 1879 E 3rd St, Williamsport, PA 17701-3924 | 2006-04-18 |
| 1881680635 | Anthony F. Campana | Optometrist | 1202 Clayton Ave, Williamsport, PA 17701 | 2005-09-26 |
| 1245235357 | David A. Briggs | Optometrist | 2443 E 3rd St, Williamsport, PA 17701-4005 | 2005-06-15 |
| 1932752094 | Christine Gonzales Shifflet | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2019-07-18 |
| 1295215234 | Eric Jarrett | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2018-08-20 |
| 1124378955 | Price Optometric Group LLC | Optometrist | 567 E 3rd St, Williamsport, PA 17701-5316 | 2012-09-19 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on INDEPENDENCE CORPORATION.
| 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.