Provider Demographics
NPI:1154548618
Name:JANET M. DARDICK O.D., P.C.
Entity type:Organization
Organization Name:JANET M. DARDICK O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:DARDICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-761-6023
Mailing Address - Street 1:5 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHIREMANSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17011-6310
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SHIREMANSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17011-6310
Practice Address - Country:US
Practice Address - Phone:717-761-6023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000571152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty