Provider Demographics
NPI:1548427404
Name:MYERS, JOYCE M (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:M
Last Name:MYERS
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3160
Mailing Address - Country:US
Mailing Address - Phone:717-632-5558
Mailing Address - Fax:717-632-7493
Practice Address - Street 1:1 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3160
Practice Address - Country:US
Practice Address - Phone:717-632-5558
Practice Address - Fax:717-632-7493
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA67295596156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician