Provider Demographics
NPI:1275678765
Name:JOEL H. MCGAHEN, OD, P.C.
Entity Type:Organization
Organization Name:JOEL H. MCGAHEN, OD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MCGAHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-264-4012
Mailing Address - Street 1:422 PHOENIX DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4537
Mailing Address - Country:US
Mailing Address - Phone:717-264-4012
Mailing Address - Fax:717-264-5745
Practice Address - Street 1:422 PHOENIX DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4537
Practice Address - Country:US
Practice Address - Phone:717-264-4012
Practice Address - Fax:717-264-5745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000370152W00000X, 332B00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADG4563OtherMEDICARE RAILROAD
PADG4563OtherMEDICARE RAILROAD
PA066220Medicare ID - Type Unspecified