Organization
BAINBRIDGE EYE CARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD TERRY BAINBRIDGE O.D. (PRESIDENT)
(610) 692-2212
Entity
Organization
Contact information
Practice address
1255 WEST CHESTER PIKE, WEST CHESTER, PA 19382-5646
(610) 692-2212
(610) 692-2235
Mailing address
1255 WEST CHESTER PIKE, WEST CHESTER, PA 19382-5646
(610) 692-2212
(610) 692-2235
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG000596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618698
PERSONAL CHOISE
PA
01
—
2301209000
KEYSTONE HEALTHCARE EAST
PA
01
—
2658183
AETAN
PA
Enumeration date
10/20/2006
Last updated
02/21/2008
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