Organization
MAZY EYE INC.
Active
Other names
Premier Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QURTULLEAN MALIK OD (OPTOMETRIST)
(609) 638-0102
Entity
Organization
Contact information
Practice address
4000 MONUMENT RD, PHILADELPHIA, PA 19131-1600
(215) 220-4455
Mailing address
1705 CLYDESDALE CIR, YARDLEY, PA 19067-4114
(609) 638-0102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003001
PA
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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