Provider Demographics
NPI:1801902226
Name:USA OPTICAL INC
Entity type:Organization
Organization Name:USA OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:G
Authorized Official - Middle Name:K
Authorized Official - Last Name:KRABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-764-8705
Mailing Address - Street 1:1800 LOUCKS RD
Mailing Address - Street 2:SUITE 653
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4609
Mailing Address - Country:US
Mailing Address - Phone:717-764-8705
Mailing Address - Fax:717-767-5680
Practice Address - Street 1:1800 LOUCKS RD
Practice Address - Street 2:SUITE 653
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4609
Practice Address - Country:US
Practice Address - Phone:717-764-8705
Practice Address - Fax:717-767-5680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty
No332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007366300004Medicaid
PA1149220001Medicare NSC