Provider Demographics
NPI:1700029592
Name:PA ASSN FOR THE BLIND LEHIGH COUNTY BRANCH
Entity Type:Organization
Organization Name:PA ASSN FOR THE BLIND LEHIGH COUNTY BRANCH
Other - Org Name:ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MECKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-433-6018
Mailing Address - Street 1:845 WYOMING ST.
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-433-6018
Mailing Address - Fax:610-433-4856
Practice Address - Street 1:845 WYOMING ST.
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-433-6018
Practice Address - Fax:610-433-4856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Single Specialty