Provider Demographics
NPI:1184658106
Name:WERNER EYE ASSOCIATES, PC
Entity Type:Organization
Organization Name:WERNER EYE ASSOCIATES, PC
Other - Org Name:CENTRE EYE PHYSICIANS AND SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:MARCOVITCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-237-4105
Mailing Address - Street 1:507 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-5419
Mailing Address - Country:US
Mailing Address - Phone:814-237-4105
Mailing Address - Fax:814-237-5663
Practice Address - Street 1:507 LOCUST LN
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-5419
Practice Address - Country:US
Practice Address - Phone:814-237-4105
Practice Address - Fax:814-237-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty