Provider Demographics
NPI:1508964503
Name:NAZARETH EYE ASSOC INC
Entity Type:Organization
Organization Name:NAZARETH EYE ASSOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:HUGGLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-614-0359
Mailing Address - Street 1:163 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2014
Mailing Address - Country:US
Mailing Address - Phone:610-759-1635
Mailing Address - Fax:610-759-1899
Practice Address - Street 1:163 S GREEN ST
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2014
Practice Address - Country:US
Practice Address - Phone:610-759-1635
Practice Address - Fax:610-759-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1385947OtherAETNA
NA1894080OtherHIGHMARK BLUE CROSS
PADF3814OtherRAILROAD MEDICARE
PA50063799OtherCAPITAL BLUE CROSS
PA2761233000OtherINDEPENDENCE BLUE CROSS
PADF3814OtherRAILROAD MEDICARE