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Organization

B & C EYEGLASS FACTORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE GOLDMAN (OWNER)
(610) 896-4540
Entity
Organization

Contact information

Practice address
50 E WYNNEWOOD RD, WYNNEWOOD, PA 19096-2013
(610) 896-4542
(610) 896-4542
Mailing address
50 E WYNNEWOOD RD, WYNNEWOOD, PA 19096-2013
(610) 896-4542
(610) 896-4542

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
6000000032
PA
332H00000X
Eyewear Supplier
Primary
6000000032
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01495
SPECTERA
01
38646
DAVIS VISION PLAN
Enumeration date
05/03/2007
Last updated
07/18/2019
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