Provider Demographics
NPI:1538233341
Name:SPRIGGLE, DANE E (OD)
Entity type:Individual
Prefix:DR
First Name:DANE
Middle Name:E
Last Name:SPRIGGLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 VALLEY ST
Mailing Address - Street 2:PO BOX 1249
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1851
Mailing Address - Country:US
Mailing Address - Phone:717-242-2721
Mailing Address - Fax:717-242-3510
Practice Address - Street 1:50 VALLEY ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1851
Practice Address - Country:US
Practice Address - Phone:717-242-2721
Practice Address - Fax:717-242-3510
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-000008152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
143676Medicare ID - Type Unspecified
PAU65903Medicare UPIN