Provider Demographics
NPI:1639131204
Name:HANCOCK, BETSY JOY (OD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:JOY
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-2853
Mailing Address - Country:US
Mailing Address - Phone:570-784-2131
Mailing Address - Fax:570-389-7670
Practice Address - Street 1:273 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-2853
Practice Address - Country:US
Practice Address - Phone:570-784-2131
Practice Address - Fax:570-389-7670
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE006887-T152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy