| Independence Corporation | |
|
92 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9045 | |
| (610) 379-9445 | |
| (610) 379-9447 |
| Full Name | Independence Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 92 Blakeslee Boulevard Dr E, Lehighton, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023250883 | NPI | - | NPPES |
| 0018518950002 | Medicaid | PA | |
| 0830100015 | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Corporation 4119c Mauch Chunk Rd, Coplay, PA 18037-2106 Ph: (610) 799-2020 | Independence Corporation 92 Blakeslee Boulevard Dr E, Lehighton, PA 18235-9045 Ph: (610) 379-9445 |
Caitlin Wallace, OD Optometrist Medicare: Medicare Enrolled Practice Location: 175 Interchange Rd, Lehighton, PA 18235 Phone: 610-349-9445 | |
Dr. Cheryl L Marinchak, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 158 Mall Rd, Lehighton, PA 18235 Phone: 610-377-8585 Fax: 610-377-8586 | |
Dr. Tinaya Marie Neeb, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 S 9th St, Lehighton, PA 18235 Phone: 484-464-7065 |