# PHILADELPHIA VISION CENTER OF MONTGOMERY COUNTY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457380552
- **Authorized official:** MR. DAVID BOISSELLE (OWNER)
- **Authorized official phone:** (215) 885-8500

## Contact information

- **Practice address:** 2401 W CHELTENHAM AVE, SUITE 230, WYNCOTE, PA 19095-2946
- **Practice address phone:** (215) 885-8500
- **Mailing address:** 2401 W CHELTENHAM AVE STE 230, WYNCOTE, PA 19095-2946
- **Mailing address phone:** (215) 885-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OB007398A | PA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/29/2023
