| Suburban Eye Care Optometric | |
|
10 Clearfield Ave, Trooper, PA 19403-1655 | |
| (610) 631-1142 | |
| Not Available |
| Full Name | Suburban Eye Care Optometric |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 10 Clearfield Ave, Trooper, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407976020 | NPI | - | NPPES |
| 113996 | Other | AETNA | |
| 139725 | Other | OXFORD | |
| 2116909000 | Other | KEYSTONE | |
| SU507539 | Other | PA | AMERICHOICE |
| 113996 | Other | NJ | BLUE SHIELD NJ |
| 94012 | Other | AETNA HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG000682 (Pennsylvania) | Primary |
| Provider Name | John J Burrell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801874367 PECOS PAC ID: 9739365420 Enrollment ID: I20110513000258 |
| Provider Name | Amalia Catherine Burrell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821660572 PECOS PAC ID: 0143625707 Enrollment ID: I20210819000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Suburban Eye Care Optometric 10 Clearfield Ave, Trooper, PA 19403-1655 Ph: (610) 631-1142 | Suburban Eye Care Optometric 10 Clearfield Ave, Trooper, PA 19403-1655 Ph: (610) 631-1142 |
Dr. Therese C Deschenes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2900 W Germantown Pike, Trooper, PA 19403 Phone: 610-630-6633 Fax: 610-630-8539 | |
John J Burrell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10 Clearfield Ave, Trooper, PA 19403 Phone: 610-631-1142 | |
Therese C. Deschenes, Od; Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2900 W Germantown Pike, Trooper, PA 19403 Phone: 610-630-6633 Fax: 610-630-8539 | |
Dr. Mary Jo Ann Thomas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2900 W Germantown Pike, Trooper, PA 19403 Phone: 610-630-6633 Fax: 610-630-8239 |