Provider Demographics
NPI:1497947279
Name:VISION RESOURCES OF CENTRAL PENNSYLVANIA
Entity Type:Organization
Organization Name:VISION RESOURCES OF CENTRAL PENNSYLVANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-238-2531
Mailing Address - Street 1:1130 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-2912
Mailing Address - Country:US
Mailing Address - Phone:717-238-2531
Mailing Address - Fax:717-238-0710
Practice Address - Street 1:1130 S 19TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-2912
Practice Address - Country:US
Practice Address - Phone:717-238-2531
Practice Address - Fax:717-238-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No332H00000XSuppliersEyewear Supplier