Provider Demographics
NPI:1194818971
Name:REBMAN EYECARE, P.C.
Entity Type:Organization
Organization Name:REBMAN EYECARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:REBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-367-7838
Mailing Address - Street 1:282 MAYTOWN RD
Mailing Address - Street 2:STE 100
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-9313
Mailing Address - Country:US
Mailing Address - Phone:717-367-7838
Mailing Address - Fax:717-367-6266
Practice Address - Street 1:282 MAYTOWN RD
Practice Address - Street 2:STE 100
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-9313
Practice Address - Country:US
Practice Address - Phone:717-367-7838
Practice Address - Fax:717-367-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000512152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty