Provider Demographics
NPI:1548325863
Name:CINER, ELISE BETH (OD)
Entity type:Individual
Prefix:DR
First Name:ELISE
Middle Name:BETH
Last Name:CINER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:18 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3128
Mailing Address - Country:US
Mailing Address - Phone:610-667-3150
Mailing Address - Fax:215-276-6196
Practice Address - Street 1:2805 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-1827
Practice Address - Country:US
Practice Address - Phone:610-356-3933
Practice Address - Fax:610-356-3324
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG 1860152WP0200X, 152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Not Answered152WV0400XEye and Vision Services ProvidersOptometristVision Therapy