Organization
VALLEY EYE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY F WILKINSON (BILLING MANAGER)
(215) 938-7865
Entity
Organization
Contact information
Practice address
2755 PHILMONT AVE, UNIT 140, HUNTINGDON VALLEY, PA 19006-5368
(215) 938-7878
Mailing address
2755 PHILMONT AVE, UNIT 140, HUNTINGDON VALLEY, PA 19006-5321
(215) 938-7878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000964
PA
207W00000X
Ophthalmology Physician
Primary
MD029289E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101727331
—
PA
01
—
1238982
AETNA
PA
01
—
1821116
HIGHMARK BLUE SHIELD
PA
01
—
1826953
HIGHMARK BLUE SHIELD
PA
01
—
2676272000
INDEPENDENCE BLUE CROSS
PA
01
—
2682367000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/29/2006
Last updated
09/27/2016
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