Provider Demographics
NPI:1518520840
Name:LITITZ EYE CARE PC
Entity Type:Organization
Organization Name:LITITZ EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CRAWSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:585-305-3104
Mailing Address - Street 1:686 WARMINSTER LN
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-5006
Mailing Address - Country:US
Mailing Address - Phone:585-305-3104
Mailing Address - Fax:
Practice Address - Street 1:65 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-1941
Practice Address - Country:US
Practice Address - Phone:585-305-3104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty