# ALPHA OPTICAL WYOMISSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALPHA OPTICAL GROUP, LLC SOLE MEMBER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225557655
- **Legal business name:** ALPHA OPTICAL GROUP, LLC SOLE MEMBER
- **Authorized official:** GRETCHEN J BREWER OD (OWNER)
- **Authorized official phone:** (484) 772-8121

## Contact information

- **Practice address:** 714 WOODLAND RD, WYOMISSING, PA 19610-3231
- **Practice address phone:** (484) 772-8121
- **Practice address fax:** (610) 374-2808
- **Mailing address:** 3070 BRISTOL PIKE STE 2-220, BENSALEM, PA 19020-5361
- **Mailing address phone:** (215) 497-1001
- **Mailing address fax:** (215) 639-2486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 09/18/2017