# CHESTNUT ST OPTICAL INC

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

## Provider details

- **NPI number:** 1831524818
- **Authorized official:** WILLIAM NIGRO (MANAGER)
- **Authorized official phone:** (215) 921-4871

## Contact information

- **Practice address:** 4002 CHESTNUT ST, PHILADELPHIA, PA 19104-3020
- **Practice address phone:** (215) 921-4871
- **Practice address fax:** (215) 921-4891
- **Mailing address:** 4002 CHESTNUT ST, PHILADELPHIA, PA 19104-3020
- **Mailing address phone:** (215) 921-4871
- **Mailing address fax:** (215) 921-4891

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 09/09/2013
