Organization
EYE TO EYE OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE LUSCAVAGE (PRESIDENT)
(610) 347-1200
Entity
Organization
Contact information
Practice address
1008 WAWASET RD, KENNETT SQUARE, PA 19348-1002
(610) 347-1200
(610) 347-1201
Mailing address
1008 WAWASET RD, KENNETT SQUARE, PA 19348-1002
(610) 347-1200
(610) 347-1201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD066768L
PA
Other
Enumeration date
08/22/2007
Last updated
12/06/2013
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