Provider Demographics
NPI:1285855122
Name:ESTATE OF CECIL D FURER OD
Entity Type:Organization
Organization Name:ESTATE OF CECIL D FURER OD
Other - Org Name:EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADM OF ESTATE OF CECIL D FURER OD
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:FURER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-295-5127
Mailing Address - Street 1:332 FOURTH STREET
Mailing Address - Street 2:PO BOX 367
Mailing Address - City:FREEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16229-1130
Mailing Address - Country:US
Mailing Address - Phone:724-295-5127
Mailing Address - Fax:724-295-5130
Practice Address - Street 1:332 FOURTH STREET,
Practice Address - Street 2:BOX 367
Practice Address - City:FREEPORT
Practice Address - State:PA
Practice Address - Zip Code:16229-1130
Practice Address - Country:US
Practice Address - Phone:724-295-5127
Practice Address - Fax:724-295-5130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000594152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CF42000OtherOPTUM
254325OtherHAS
441540847OtherRR MEDICARE
4478201OtherDAVIS CN
PA4888OtherEYE MED
PA0006026700002Medicaid
44782OtherDAVIS
080825OtherAETNA
141764OtherHEALTH AMERICA
390873OtherNVA
314122OtherUPMC
PAPA04888OtherVBA
397150OtherNVA CN
684163OtherBC
684163OtherHIGHMARK
CF42000OtherSPECTERA
U08082Medicare UPIN
PAPA04888OtherVBA
PA0006026700002Medicaid