Provider Demographics
NPI:1669602801
Name:WISBER, ERIN (OD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:WISBER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 N. MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917
Mailing Address - Country:US
Mailing Address - Phone:215-249-3937
Mailing Address - Fax:215-249-0437
Practice Address - Street 1:174 N. MAIN ST
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917
Practice Address - Country:US
Practice Address - Phone:215-249-3937
Practice Address - Fax:215-249-0437
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002223152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist