Provider Demographics
NPI:1134299316
Name:LIPSKI EYE CENTER PC
Entity Type:Organization
Organization Name:LIPSKI EYE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIPSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:570-523-9234
Mailing Address - Street 1:2212 OLD TURNPIKE ROAD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837
Mailing Address - Country:US
Mailing Address - Phone:570-523-9234
Mailing Address - Fax:570-523-9235
Practice Address - Street 1:2212 OLD TURNPIKE ROAD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837
Practice Address - Country:US
Practice Address - Phone:570-523-9234
Practice Address - Fax:570-523-9235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U05777Medicare UPIN
U19931Medicare UPIN
050132Medicare ID - Type Unspecified
4223220001Medicare NSC