Basic Information
| Provider Information | |||||||||
| NPI: | 1033523568 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHAALE | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | PARKER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | O.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | PARKER | ||||||||
| OtherFirstName: | LINDSEY | ||||||||
| OtherMiddleName: | ALLISON | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | O.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2553 E MARKET ST | ||||||||
| Address2: | YORK MARKET PLACE | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174022403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177575632 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2553 E MARKET ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174022403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177575632 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2014 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OEG003032 | PA | Y | Eye and Vision Services Providers | Optometrist | 152W00000X | TA 2412 | MD | N | Eye and Vision Services Providers | Optometrist |
No ID Information.