| NPI | 1508979808 |
|---|---|
| Doing Business As | SOUTH PENN EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN C BAER Owner Physician 717-632-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OE001116) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA0952) |
| 207W00000X Ophthalmology (Licence: PA MD418856) | |
| 207W00000X Ophthalmology (Licence: PA MD06890L) | |
| 207W00000X Ophthalmology (Licence: MD D0029740) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-09-17 |