Organization
PENNSYLVANIA COLLEGE OF OPTOMETRY
Active
Other names
THE EYE INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
GARLAND MCCOY (SECRETARY)
(215) 276-6000
Entity
Organization
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Mailing address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005591590030
—
PA
Enumeration date
06/02/2006
Last updated
10/09/2024
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