Organization
PATRICK M WEBER,O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M WEBER O.D. (OPTOMETRIST)
(484) 875-9850
Entity
Organization
Contact information
Practice address
110 EXTON SQUARE MALL, #1405, EXTON, PA 19341-2440
(484) 875-9850
(186) 658-7161
Mailing address
110 EXTON SQUARE MALL, #1405, EXTON, PA 19341-2440
(484) 875-9850
(186) 658-7161
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG001755
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0398924000
INDEPENDENCE BLUE CROSS
—
01
—
57764
AETNA
—
01
—
PA6962
EYE MED
—
Enumeration date
11/01/2010
Last updated
05/03/2013
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