Provider Demographics
NPI:1871677195
Name:SWEITZER, ERIC MICHAEL (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MICHAEL
Last Name:SWEITZER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 YORKTOWN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LEWISBERRY
Mailing Address - State:PA
Mailing Address - Zip Code:17339-9258
Mailing Address - Country:US
Mailing Address - Phone:717-932-2020
Mailing Address - Fax:717-932-2021
Practice Address - Street 1:689 YORKTOWN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:LEWISBERRY
Practice Address - State:PA
Practice Address - Zip Code:17339-9258
Practice Address - Country:US
Practice Address - Phone:717-932-2020
Practice Address - Fax:717-932-2021
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001657152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6196090001Medicare NSC
PA116191W3GMedicare PIN