Provider Demographics
NPI:1902883432
Name:CABLE, JOHN W (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:CABLE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:120 SOUTH HANOVER ST
Mailing Address - Street 2:VINCETT EYE ASSOCIATES LLC
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013
Mailing Address - Country:US
Mailing Address - Phone:717-245-2020
Mailing Address - Fax:717-245-2286
Practice Address - Street 1:120 SOUTH HANOVER ST
Practice Address - Street 2:VINCETT EYE ASSOCIATES LLC
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013
Practice Address - Country:US
Practice Address - Phone:717-245-2020
Practice Address - Fax:717-245-2286
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG000029152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU63363Medicare UPIN
PA893702TV4Medicare PIN