# EYELASH VISION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pearle Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639478035
- **Authorized official:** MS. MOJEH MOHTASHAMI STORE GEN. MANAGER (PRESIDENT/MANAGING PARTNER)
- **Authorized official phone:** (610) 831-1100

## Contact information

- **Practice address:** 500 BROAD STREET, SUITE 3, COLLEGEVILLE, PA 19426-4912
- **Practice address phone:** (610) 831-1100
- **Practice address fax:** (610) 831-1108
- **Mailing address:** 855 RICHARDS RD, WAYNE, PA 19087-1043
- **Mailing address phone:** (610) 783-0301
- **Mailing address fax:** (610) 831-1108

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 03/24/2011