Organization
HEALTHY VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LIETO O.D. (PRESIDENT)
(610) 415-3121
Entity
Organization
Contact information
Practice address
270 INDIAN RUN ST, EXTON, PA 19341-3706
(484) 875-9591
Mailing address
178 1ST AVE, PHOENIXVILLE, PA 19460-3761
(610) 415-3121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG OO1033
PA
Other
Enumeration date
01/18/2010
Last updated
01/18/2010
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