Organization
NEWTOWN LASER AND EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY SCOTT MULLIN M.D. (PRESIDENT)
(215) 860-3400
Entity
Organization
Contact information
Practice address
409 EXECUTIVE DR, LANGHORNE, PA 19047-8003
(215) 860-3400
(215) 860-8779
Mailing address
409 EXECUTIVE DR, LANGHORNE, PA 19047-8003
(215) 860-3400
(215) 860-8779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0366355000
KEYSTONE
PA
01
—
2129761
AETNA
PA
01
—
5224761
AETNA
NJ
01
—
575910
BC/BS
PA
01
—
DA1790
RAILROAD MEDICARE
NJ
Enumeration date
05/19/2006
Last updated
12/01/2016
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