Organization
MICHELE Y SHADE, O.D.
Active
Other names
Shade Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE SHADE OD (PROPRIETOR)
(610) 326-1106
Entity
Organization
Contact information
Practice address
142 SHOEMAKER RD, POTTSTOWN, PA 19464-6430
(610) 326-1106
(610) 326-1108
Mailing address
142 SHOEMAKER RD, POTTSTOWN, PA 19464-6430
(610) 326-1106
(610) 326-1108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000169
PA
332B00000X
Durable Medical Equipment & Medical Supplies
OEG000169
PA
Other
Enumeration date
02/16/2008
Last updated
07/16/2008
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