Organization
OPHTHALMOLOGY PHYSICIANS & SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN L BRASS (BILLING MANAGER)
(215) 672-4300
Entity
Organization
Contact information
Practice address
331 N YORK RD, HATBORO, PA 19040-2033
(215) 672-4300
(215) 672-9524
Mailing address
1609 WOODBOURNE RD, SUITE 303, LEVITTOWN, PA 19057-1500
(215) 547-1818
(215) 547-5174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE5457P
PA
207W00000X
Ophthalmology Physician
Primary
MD038937E
PA
332H00000X
Eyewear Supplier
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102934897-0001
—
PA
Enumeration date
05/26/2006
Last updated
10/24/2014
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