Provider Demographics
NPI:1861460909
Name:JMAM INC.
Entity type:Organization
Organization Name:JMAM INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-564-7015
Mailing Address - Street 1:265 S HOUCKS RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-2907
Mailing Address - Country:US
Mailing Address - Phone:717-564-7015
Mailing Address - Fax:717-564-7189
Practice Address - Street 1:265 S HOUCKS RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-2907
Practice Address - Country:US
Practice Address - Phone:717-564-7015
Practice Address - Fax:717-564-7189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001471152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADG2156OtherRAILROAD MEDICARE PIN
PADG2156OtherRAILROAD MEDICARE PIN
PA5742340001Medicare NSC
PA101468Medicare PIN