Provider Demographics
NPI:1649093022
Name:IRWIN EYE CARE LLC
Entity type:Organization
Organization Name:IRWIN EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-863-3116
Mailing Address - Street 1:511 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3404
Mailing Address - Country:US
Mailing Address - Phone:724-863-3116
Mailing Address - Fax:724-863-2489
Practice Address - Street 1:511 MAIN ST
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3404
Practice Address - Country:US
Practice Address - Phone:724-863-3116
Practice Address - Fax:724-863-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center