Provider Demographics
NPI:1326133091
Name:EYES OF YORK CATARACT & LASER CENTER PC
Entity Type:Organization
Organization Name:EYES OF YORK CATARACT & LASER CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-767-2000
Mailing Address - Street 1:1880 KENNETH ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-6344
Mailing Address - Country:US
Mailing Address - Phone:717-767-2000
Mailing Address - Fax:717-767-2013
Practice Address - Street 1:1880 KENNETH ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-6344
Practice Address - Country:US
Practice Address - Phone:717-767-2000
Practice Address - Fax:717-767-2013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD056382L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA048815Medicare ID - Type Unspecified
PA6248220001Medicare NSC