Provider Demographics
NPI:1508958380
Name:PEIRCE, HUNTER J (OD)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:J
Last Name:PEIRCE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:350 HIGHLAND DR
Mailing Address - Street 2:SUITE 190
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1263
Mailing Address - Country:US
Mailing Address - Phone:717-285-4800
Mailing Address - Fax:717-285-3057
Practice Address - Street 1:350 HIGHLAND DR
Practice Address - Street 2:SUITE 190
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1263
Practice Address - Country:US
Practice Address - Phone:717-285-4800
Practice Address - Fax:717-285-3057
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA0EG000038152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT72404Medicare UPIN
PA1878490001Medicare NSC
PA046672Medicare PIN