Provider Demographics
NPI:1689146508
Name:CAMPANELLA EYE ASSOCIATES PC
Entity Type:Organization
Organization Name:CAMPANELLA EYE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMPANELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-678-4552
Mailing Address - Street 1:3855 PENN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-1174
Mailing Address - Country:US
Mailing Address - Phone:610-678-4552
Mailing Address - Fax:610-678-7007
Practice Address - Street 1:3855 PENN AVE STE 100
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-1174
Practice Address - Country:US
Practice Address - Phone:610-678-4552
Practice Address - Fax:610-678-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty