Organization
COUNTY OF MONTGOMERY OPTHALMMOLOGY
Active
Organization
COUNTY OF MONTGOMERY OPTHALMMOLOGY
Active
Parent organization
PARKHOUSE PROVIDENCE POINTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKHOUSE PROVIDENCE POINTE
Authorized official
MELANIE DEBLASE DON (ADMINISTRATOR)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098439
PROVIDER NUMBER
PA
01
—
180039407
RAILROAD
PA
01
—
1972582633
NPI
PA
01
—
MD029620E
LICENSE
PA
Enumeration date
05/23/2008
Last updated
05/23/2008
Update your record
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