Provider Demographics
NPI:1497850317
Name:ESH, TAMMY LYNN (OD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:LYNN
Last Name:ESH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 KELLER AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4070
Mailing Address - Country:US
Mailing Address - Phone:717-299-0780
Mailing Address - Fax:717-392-5576
Practice Address - Street 1:29 KELLER AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4070
Practice Address - Country:US
Practice Address - Phone:717-299-0780
Practice Address - Fax:717-392-5576
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE000958T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPA8089OtherEYEMED
PAES1338959OtherHIGHMARK
PAES1338959OtherHIGHMARK
PAPA8089OtherEYEMED