Provider Demographics
NPI:1497789713
Name:DONNA B. MCLAUGHLIN OD
Entity Type:Organization
Organization Name:DONNA B. MCLAUGHLIN OD
Other - Org Name:BIERNACKI EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MC LAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:570-823-0290
Mailing Address - Street 1:82 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-3029
Mailing Address - Country:US
Mailing Address - Phone:570-823-0290
Mailing Address - Fax:570-823-8511
Practice Address - Street 1:82 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-3029
Practice Address - Country:US
Practice Address - Phone:570-823-0290
Practice Address - Fax:570-823-8511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA220032OtherFIRST PRIORITY
PA821984OtherBLUE SHIELD
PAGEISINGEROtherGEISINGER HEALTH PLAN
PA821984OtherBLUE SHIELD
PAGEISINGEROtherGEISINGER HEALTH PLAN