Provider Demographics
NPI:1457418469
Name:LANDER, JEFFREY RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:RICHARD
Last Name:LANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LEADER HEIGHTS ROAD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-5024
Mailing Address - Country:US
Mailing Address - Phone:717-747-5430
Mailing Address - Fax:717-747-5230
Practice Address - Street 1:309 LEADER HEIGHTS ROAD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402
Practice Address - Country:US
Practice Address - Phone:717-747-5430
Practice Address - Fax:717-747-5230
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026838E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02534600OtherCAPITAL BLUE CROSS KEYSTO
PA1915940OtherFEDERAL EMPLOYEES PROGRAM
PA0472178OtherAETNA
PA126130OtherHEALTH AMERICA
PW100798OtherBLUE SHIELD
PW01543701OtherCAPITAL BLUE CROSS
PA1782590OtherCIGNA
PW100798OtherBLUE SHIELD
PW01543701OtherCAPITAL BLUE CROSS