Provider Demographics
NPI:1568640241
Name:CHRIS C REMMEL OPTICIAN
Entity Type:Organization
Organization Name:CHRIS C REMMEL OPTICIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:REMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-867-4522
Mailing Address - Street 1:19 E ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6520
Mailing Address - Country:US
Mailing Address - Phone:610-867-4522
Mailing Address - Fax:610-867-4522
Practice Address - Street 1:19 E ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6520
Practice Address - Country:US
Practice Address - Phone:610-867-4522
Practice Address - Fax:610-867-4522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0446320001Medicare NSC