Provider Demographics
NPI:1891187050
Name:N&LEYEWEAR
Entity Type:Organization
Organization Name:N&LEYEWEAR
Other - Org Name:USAOPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANOA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-227-2030
Mailing Address - Street 1:14625 MOUNT AIRY RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361-1431
Mailing Address - Country:US
Mailing Address - Phone:717-227-2030
Mailing Address - Fax:717-227-2031
Practice Address - Street 1:14625 MOUNT AIRY RD
Practice Address - Street 2:SUITE 109
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1431
Practice Address - Country:US
Practice Address - Phone:717-227-2030
Practice Address - Fax:717-227-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000006596332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier