Individual
DR. CHARLES M WORMINGTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
(215) 276-1329
Mailing address
1575 ELKINS AVE, ABINGTON, PA 19001-1915
(215) 576-8409
(215) 276-1329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2248
AETNA HMO
PA
01
—
56264
BLUE SHIELD
PA
Enumeration date
08/09/2006
Last updated
07/08/2007
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