Provider Demographics
NPI:1952638868
Name:VALLEY EYE CARE CENTER LLC
Entity Type:Organization
Organization Name:VALLEY EYE CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-323-6105
Mailing Address - Street 1:1601 SYCAMORE RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-9305
Mailing Address - Country:US
Mailing Address - Phone:570-323-6105
Mailing Address - Fax:570-323-4820
Practice Address - Street 1:1601 SYCAMORE RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-9305
Practice Address - Country:US
Practice Address - Phone:570-323-6105
Practice Address - Fax:570-323-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038984E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty