Provider Demographics
NPI:1053326454
Name:ESH, CHRISTOPHER SCOTT (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:ESH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 KELLER AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4070
Mailing Address - Country:US
Mailing Address - Phone:717-299-0780
Mailing Address - Fax:717-392-5576
Practice Address - Street 1:29 KELLER AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4070
Practice Address - Country:US
Practice Address - Phone:717-299-0780
Practice Address - Fax:717-392-5576
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000957T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAES1338959OtherHIGHMARK
PAPA8015OtherEYEMED
PA021931QGUMedicare PIN
PAES1338959OtherHIGHMARK