Provider Demographics
NPI:1639393820
Name:LISA S. BUNIN, M.D.
Entity Type:Organization
Organization Name:LISA S. BUNIN, M.D.
Other - Org Name:ACUITY OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUNIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-435-5333
Mailing Address - Street 1:1611 POND RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2258
Mailing Address - Country:US
Mailing Address - Phone:610-435-5333
Mailing Address - Fax:610-435-2253
Practice Address - Street 1:1611 POND RD
Practice Address - Street 2:SUITE 403
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2258
Practice Address - Country:US
Practice Address - Phone:610-435-5333
Practice Address - Fax:610-435-2253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0670830001Medicare NSC