# EYE SURGERY OF THE MAIN LINE, LLC

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

## Provider details

- **NPI number:** 1518575778
- **Authorized official:** DR. ANITA NEVYAS-WALLACE MD (MEMBER)
- **Authorized official phone:** (610) 668-2847

## Contact information

- **Practice address:** 333 E CITY AVENUE, TWO BALA PLAZA, BALA CYNWYD, PA 19004-1501
- **Practice address phone:** (610) 668-2777
- **Mailing address:** 333 E CITY AVE, TWO BALA PLAZA, BALA CYNWYD, PA 19004-1501
- **Mailing address phone:** (610) 668-2847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 09/25/2025