Provider Demographics
NPI:1770699191
Name:USA OPTICAL INC
Entity type:Organization
Organization Name:USA OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE
Authorized Official - Prefix:MISS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-757-5632
Mailing Address - Street 1:14625 MOUNT AIRY RD SUITE 109
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361-1431
Mailing Address - Country:US
Mailing Address - Phone:717-227-2030
Mailing Address - Fax:717-227-2031
Practice Address - Street 1:14625 MOUNT AIRY RD
Practice Address - Street 2:SUITE 109
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1431
Practice Address - Country:US
Practice Address - Phone:717-227-2030
Practice Address - Fax:717-227-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty