Provider Demographics
NPI:1487796421
Name:DESIGNER FAMILY EYECARE, LLC
Entity type:Organization
Organization Name:DESIGNER FAMILY EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPOTTS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:717-600-2020
Mailing Address - Street 1:3015 EASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3042
Mailing Address - Country:US
Mailing Address - Phone:717-600-2020
Mailing Address - Fax:717-600-2001
Practice Address - Street 1:3015 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3042
Practice Address - Country:US
Practice Address - Phone:717-600-2020
Practice Address - Fax:717-600-2001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103180881 0001Medicaid
PA34005OtherAVESIS
PA397114OtherNATIONAL VISION ADMINISTR
PAWA120010OtherBLUE SHIELD
4225330001Medicare NSC