Provider Demographics
NPI:1215997879
Name:EYE CARE SPECIALISTS, P.C.
Entity type:Organization
Organization Name:EYE CARE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SZULBORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-288-7405
Mailing Address - Street 1:703 RUTTER AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4801
Mailing Address - Country:US
Mailing Address - Phone:570-288-7405
Mailing Address - Fax:570-288-7406
Practice Address - Street 1:703 RUTTER AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-4801
Practice Address - Country:US
Practice Address - Phone:570-288-7405
Practice Address - Fax:570-288-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0090282000OtherBLUE SHIELD PERSONAL CHOI
PA02297100OtherCAPITAL BC KEYSTONE SENIO
PA1512852OtherGATEWAY HEALTH PLAN
PA02297100OtherCAPITAL BLUE CROSS
PA02297100OtherCAPITAL BC KEYSTONE BLUE
PA000000139485OtherUNISON MEDPLUS
PA1996OtherGEISINGER GOLD HEALTH PLA
PA20008501OtherAMERIHEALTH MERCY HEALTH
PA0010897540025Medicaid
PA181248OtherFIRST PRIORITY LIFE
PA181248OtherFREEDOM BLUE
PA1996OtherGEISINGER HEALTH PLAN
PA072304OtherFIRST PRIORITY HEALTH
PA700616OtherBLUE SHIELD
PA181248OtherBLUE SHIELD OF PA
PA181248OtherBLUE SHIELD VISION PLANS
PA181248OtherBLUE SHIELD FEDERAL EMPLO
PA505963OtherAETNA
PA072304OtherFIRST PRIORITY HEALTH
PA181248OtherBLUE SHIELD VISION PLANS