Organization
EYE STORE-SHOPPE LLC
Active
Other names
JEFFREY KEHR SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KEHR (OWNER)
(610) 489-4100
Entity
Organization
Contact information
Practice address
222 E MAIN ST STE 114, COLLEGEVILLE SHOPPING CENTER, COLLEGEVILLE, PA 19426-2650
(610) 489-4100
(610) 489-8458
Mailing address
222 E MAIN ST STE 114, COLLEGEVILLE SHOPPING CENTER, COLLEGEVILLE, PA 19426-2650
(610) 489-4100
(610) 489-8458
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/13/2008
Last updated
10/01/2010
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