Provider Demographics
NPI:1427185818
Name:DR. PHILIP J. SCHWARTZ, OPTOMETRIST, P.C.
Entity Type:Organization
Organization Name:DR. PHILIP J. SCHWARTZ, OPTOMETRIST, P.C.
Other - Org Name:EYE CENTER OF LANCASTER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:TINDALL
Authorized Official - Suffix:
Authorized Official - Credentials:CPOT, COA
Authorized Official - Phone:717-569-7107
Mailing Address - Street 1:418 HIGHLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4140
Mailing Address - Country:US
Mailing Address - Phone:717-569-7107
Mailing Address - Fax:717-560-3503
Practice Address - Street 1:418 HIGHLAND VIEW DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4140
Practice Address - Country:US
Practice Address - Phone:717-569-7107
Practice Address - Fax:717-560-3503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000050152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002650Medicare PIN
PA0442490001Medicare NSC