Provider Demographics
NPI:1306861281
Name:CAMPUS OPTICIANS, INC.
Entity Type:Organization
Organization Name:CAMPUS OPTICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPITLER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:717-544-3937
Mailing Address - Street 1:2108 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2644
Mailing Address - Country:US
Mailing Address - Phone:717-544-3937
Mailing Address - Fax:717-544-3938
Practice Address - Street 1:2108 HARRISBURG PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2644
Practice Address - Country:US
Practice Address - Phone:717-544-3937
Practice Address - Fax:717-544-3938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0991850001OtherDME
0991850001OtherDME