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Organization
ALPHA OPTICAL WYOMISSING, LLC
Active
Organization
ALPHA OPTICAL WYOMISSING, LLC
Active
Parent organization
ALPHA OPTICAL GROUP, LLC SOLE MEMBER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA OPTICAL GROUP, LLC SOLE MEMBER
Authorized official
GRETCHEN J BREWER OD (OWNER)
(484) 772-8121
Entity
Organization
Contact information
Practice address
714 WOODLAND RD, WYOMISSING, PA 19610-3231
(484) 772-8121
(610) 374-2808
Mailing address
3070 BRISTOL PIKE STE 2-220, BENSALEM, PA 19020-5361
(215) 497-1001
(215) 639-2486
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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