Provider Demographics
NPI:1548440308
Name:TAMARKIN EYE ASSOCIATES
Entity type:Organization
Organization Name:TAMARKIN EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-848-2020
Mailing Address - Street 1:1610 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4624
Mailing Address - Country:US
Mailing Address - Phone:717-848-2020
Mailing Address - Fax:717-846-8391
Practice Address - Street 1:1610 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4624
Practice Address - Country:US
Practice Address - Phone:717-848-2020
Practice Address - Fax:717-846-8391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001160332B00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009155150001Medicaid
PA5240170001Medicare NSC
PA1009155150001Medicaid
PAU96770Medicare UPIN