Provider Demographics
NPI:1598770992
Name:ESH EYECARE INC.
Entity Type:Organization
Organization Name:ESH EYECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ESH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-299-0780
Mailing Address - Street 1:29 KELLER AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4070
Mailing Address - Country:US
Mailing Address - Phone:717-299-0780
Mailing Address - Fax:717-392-5576
Practice Address - Street 1:29 KELLER AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4070
Practice Address - Country:US
Practice Address - Phone:717-299-0780
Practice Address - Fax:717-392-5576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA000957T,PA000958T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAES1338959OtherHIGHMARK
PA056859Medicare PIN