Provider Demographics
NPI:1710943345
Name:STRONGWATER, HILDY L (OD)
Entity Type:Individual
Prefix:DR
First Name:HILDY
Middle Name:L
Last Name:STRONGWATER
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 1:441 NORTHAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTEN
Mailing Address - State:PA
Mailing Address - Zip Code:18042
Mailing Address - Country:US
Mailing Address - Phone:610-253-8132
Mailing Address - Fax:610-252-2286
Practice Address - Street 1:2414 MACARTHUR RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3810
Practice Address - Country:US
Practice Address - Phone:610-432-3937
Practice Address - Fax:610-432-0124
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE006824T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02541400OtherCAPITAL BLUE CROSS GROUP
PA0011401130004Medicaid
PA01554301OtherCAPITAL BLUE CROSS
T28660Medicare UPIN
PA203593Y3QMedicare PIN
PA02541400OtherCAPITAL BLUE CROSS GROUP