Provider Demographics
NPI:1083036149
Name:EYE ASSOCIATES OF LANCASTER LTD
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF LANCASTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:JR
Authorized Official - Credentials:M D
Authorized Official - Phone:717-290-6879
Mailing Address - Street 1:2106 HARRISBURG PIKE STE 309
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-290-6879
Mailing Address - Fax:717-290-6894
Practice Address - Street 1:2106 HARRISBURG PIKE STE 309
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-290-6879
Practice Address - Fax:717-209-6894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-09
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
I41399Medicare UPIN
E04277Medicare UPIN
C34819Medicare UPIN