Provider Demographics
NPI:1649263245
Name:HEMLER, EDWARD ALLAN (OD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:ALLAN
Last Name:HEMLER
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 1:1201 W ELM AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-4600
Mailing Address - Country:US
Mailing Address - Phone:717-337-2544
Mailing Address - Fax:717-630-2322
Practice Address - Street 1:1201 W ELM AVE
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-4600
Practice Address - Country:US
Practice Address - Phone:717-630-2922
Practice Address - Fax:717-630-2322
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2020-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000132152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU64667Medicare UPIN
PA882198Medicare PIN