Provider Demographics
NPI:1528010683
Name:KYBER OPTICS, LTD
Entity Type:Organization
Organization Name:KYBER OPTICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DUSSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-657-2020
Mailing Address - Street 1:4100 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1071
Mailing Address - Country:US
Mailing Address - Phone:717-657-2020
Mailing Address - Fax:717-657-2071
Practice Address - Street 1:4100 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1071
Practice Address - Country:US
Practice Address - Phone:717-657-2020
Practice Address - Fax:717-657-2071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0849260001Medicare NSC
PA084926Medicare ID - Type Unspecified