Basic Information
| Provider Information | |||||||||
| NPI: | 1457578908 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STRASBURG FAMILY EYECARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 LANCASTER AVE | ||||||||
| Address2: | |||||||||
| City: | STRASBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175791106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176878141 | ||||||||
| FaxNumber: | 7176877930 | ||||||||
| Practice Location | |||||||||
| Address1: | 20 LANCASTER AVE | ||||||||
| Address2: | |||||||||
| City: | STRASBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175791106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176878141 | ||||||||
| FaxNumber: | 7176877930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LAUVER | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | O | ||||||||
| AuthorizedOfficialTitleorPosition: | OPTOMETRIST | ||||||||
| AuthorizedOfficialTelephone: | 7176878141 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.