Provider Demographics
NPI:1902869688
Name:HUNTER FAMILY EYE CARE, LLC
Entity Type:Organization
Organization Name:HUNTER FAMILY EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-540-0588
Mailing Address - Street 1:PO BOX 4286
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-0286
Mailing Address - Country:US
Mailing Address - Phone:717-540-0588
Mailing Address - Fax:818-301-2626
Practice Address - Street 1:698 SHREWSBURY COMMONS AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1617
Practice Address - Country:US
Practice Address - Phone:717-235-0788
Practice Address - Fax:717-235-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001652152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7882679OtherAETNA
PA2495622005OtherUNITED HEALTH CARE
PA1012775320002Medicaid
PAHU1725178OtherHIGHMARK BLUESHEILD
MD6463-9901OtherCAREFIRST BCBS
PA51448OtherDAVIS VISION
DCK7020001OtherCAREFIRST BCBS
PA1012775320002Medicaid