Provider Demographics
NPI:1417115551
Name:ORREN EYE ASSOCIATES
Entity Type:Organization
Organization Name:ORREN EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:REIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-473-1715
Mailing Address - Street 1:90 QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17857-1948
Mailing Address - Country:US
Mailing Address - Phone:570-473-1715
Mailing Address - Fax:570-473-8551
Practice Address - Street 1:90 QUEEN ST
Practice Address - Street 2:
Practice Address - City:NORTHUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17857-1948
Practice Address - Country:US
Practice Address - Phone:570-473-1715
Practice Address - Fax:570-473-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000763332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
02449000OtherBLUE CROSS
410021857OtherRAILROAD MEDICARE
038367LGBOtherLEWISBURG MEDICARE UPIN
410021857OtherRAILROAD MEDICARE
0655760001Medicare NSC
U06675Medicare UPIN