Provider Demographics
NPI:1932803806
Name:WEST EYE ASSOCIATES LLP
Entity Type:Organization
Organization Name:WEST EYE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OSZUSTOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-796-2000
Mailing Address - Street 1:555 GETTYSBURG PIKE STE C200
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5205
Mailing Address - Country:US
Mailing Address - Phone:717-796-2000
Mailing Address - Fax:717-796-2015
Practice Address - Street 1:555 GETTYSBURG PIKE STE C200
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5205
Practice Address - Country:US
Practice Address - Phone:717-796-2000
Practice Address - Fax:717-796-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1881117570Medicaid
PA1336662295Medicaid
PA1932173978Medicaid