Provider Demographics
NPI:1700124674
Name:YORK EYE OPTICAL LLC
Entity Type:Organization
Organization Name:YORK EYE OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-755-2020
Mailing Address - Street 1:400 PINE GROVE COMMONS
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5161
Mailing Address - Country:US
Mailing Address - Phone:717-755-2020
Mailing Address - Fax:717-747-3280
Practice Address - Street 1:400 PINE GROVE COMMONS
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5161
Practice Address - Country:US
Practice Address - Phone:717-755-2020
Practice Address - Fax:717-747-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier