Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OE006498P | PA |
NPI | 1265573232 |
---|---|
Provider Name | Dr. Shelley Eskin |
First Address | Wilkes Barre, PA 18702-1430 |
Second Address | Wilkes Barre, PA 18702-1430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T30557 | (02) |