Provider Demographics
NPI:1932506912
Name:BUTLER EYE CARE, INC
Entity Type:Organization
Organization Name:BUTLER EYE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-283-8144
Mailing Address - Street 1:297 EVANS CITY RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2754
Mailing Address - Country:US
Mailing Address - Phone:724-283-8144
Mailing Address - Fax:724-283-7303
Practice Address - Street 1:297 EVANS CITY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2754
Practice Address - Country:US
Practice Address - Phone:724-283-8144
Practice Address - Fax:724-283-7303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002318152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024722000001Medicaid
PA1024722000001Medicaid