Organization
EYE SITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE WALKER (OWNER)
(610) 586-0651
Entity
Organization
Contact information
Practice address
30 S MACDADE BLVD, GLENOLDEN, PA 19036-1725
(610) 586-0651
Mailing address
30 S MACDADE BLVD, GLENOLDEN, PA 19036-1725
(610) 586-0651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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