Provider Demographics
NPI:1780975862
Name:GRETCHEN L. ALBERT, OD, INCORPORATED
Entity type:Organization
Organization Name:GRETCHEN L. ALBERT, OD, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-249-2596
Mailing Address - Street 1:1011 CRANES GAP RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-9676
Mailing Address - Country:US
Mailing Address - Phone:717-249-2596
Mailing Address - Fax:717-258-4508
Practice Address - Street 1:60 NOBLE BLVD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4119
Practice Address - Country:US
Practice Address - Phone:717-258-4508
Practice Address - Fax:717-258-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001052152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty