# KAY & TABAS OPHTHALMOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Onsite Optical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629153028
- **Authorized official:** DR. MICHAEL L KAY M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (215) 925-6402

## Contact information

- **Practice address:** 50 MONUMENT RD, SUITE 110, BALA CYNWYD, PA 19004-1723
- **Practice address phone:** (610) 667-6760
- **Practice address fax:** (610) 667-7206
- **Mailing address:** 601 WALNUT ST, SUITE L30, PHILADELPHIA, PA 19106-3332
- **Mailing address phone:** (215) 925-6402
- **Mailing address fax:** (215) 925-0262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | MD012768E | PA | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 11/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014921990004 | — | PA |