Provider Demographics
NPI:1235353731
Name:HUNTINGDON VISION CENTER LTD
Entity Type:Organization
Organization Name:HUNTINGDON VISION CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:KARA
Authorized Official - Middle Name:COOK
Authorized Official - Last Name:RITCHEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-643-2020
Mailing Address - Street 1:828 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1726
Mailing Address - Country:US
Mailing Address - Phone:814-643-2020
Mailing Address - Fax:814-641-2020
Practice Address - Street 1:828 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1726
Practice Address - Country:US
Practice Address - Phone:814-643-2020
Practice Address - Fax:814-641-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG004569T152W00000X
PAOEG008176T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU08099Medicare UPIN
PA4707870001Medicare NSC
PAU71608Medicare UPIN