Provider Demographics
NPI:1134129372
Name:AC VISIONCARE,PC
Entity Type:Organization
Organization Name:AC VISIONCARE,PC
Other - Org Name:ADAMS CUMBERLAND VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:E
Authorized Official - Last Name:STOKEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-677-9141
Mailing Address - Street 1:3375 CARLISLE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GARDNERS
Mailing Address - State:PA
Mailing Address - Zip Code:17324-9603
Mailing Address - Country:US
Mailing Address - Phone:717-677-9141
Mailing Address - Fax:717-677-4360
Practice Address - Street 1:3375 CARLISLE RD
Practice Address - Street 2:SUITE C
Practice Address - City:GARDNERS
Practice Address - State:PA
Practice Address - Zip Code:17324-9603
Practice Address - Country:US
Practice Address - Phone:717-677-9141
Practice Address - Fax:717-677-4360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3555119OtherAETNA
PA396183OtherNATIONAL VISION ADMIN.
PA50146OtherGATEWAY,MEDPLUS
PAP00147871OtherRAILROAD MEDICARE
PA02745000OtherCAPITAL BLUE CROSS
PA1010879030001Medicaid
PAPA00782OtherVISION BENEFITS OF AMER.
PA001630574OtherHIGHMARK BLUE SHEILD
PAPA00782OtherVISION BENEFITS OF AMER.
PAT72923Medicare UPIN
PA1010879030001Medicaid