Provider Demographics
NPI:1518034313
Name:HUNTERS HILL EYE CENTER LLC
Entity type:Organization
Organization Name:HUNTERS HILL EYE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:CRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-848-2323
Mailing Address - Street 1:2295 N SUSQUEHANNA TRL STE B
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-8495
Mailing Address - Country:US
Mailing Address - Phone:717-848-2323
Mailing Address - Fax:
Practice Address - Street 1:2295 N SUSQUEHANNA TRL STE B
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-8495
Practice Address - Country:US
Practice Address - Phone:717-848-2323
Practice Address - Fax:717-846-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA765366OtherHIGHMARK BLUESHIELD
PA02672800OtherCAPITAL BLUE CROSS
PA02672800OtherCAPITAL BLUE CROSS
PA035357NV6Medicare PIN