Organization
MAYFAIR EYE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA SCHMIDT (OFFICE MANAGER)
(215) 624-0416
Entity
Organization
Contact information
Practice address
6921 FRANKFORD AVE, SUITE E, PHILADELPHIA, PA 19135-1623
(215) 624-0416
(215) 624-2770
Mailing address
6921 FRANKFORD AVE, SUITE E, PHILADELPHIA, PA 19135-1623
(215) 624-0416
(215) 624-2770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000179
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137726
PTAN
—
Enumeration date
04/10/2007
Last updated
12/08/2008
Update your record
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