Provider Demographics
NPI:1134268329
Name:VISION THERAPY ASSOCIATES OF YORK
Entity type:Organization
Organization Name:VISION THERAPY ASSOCIATES OF YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:F S
Authorized Official - Last Name:ROSER
Authorized Official - Suffix:
Authorized Official - Credentials:OD FCOVD
Authorized Official - Phone:717-741-5531
Mailing Address - Street 1:2791 SOUTH QUEEN STREET
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313
Mailing Address - Country:US
Mailing Address - Phone:717-741-5531
Mailing Address - Fax:717-741-3001
Practice Address - Street 1:2791 SOUTH QUEEN STREET
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313
Practice Address - Country:US
Practice Address - Phone:717-741-5531
Practice Address - Fax:717-741-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE 6810 P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
R0733047Medicare ID - Type Unspecified
U40350Medicare UPIN