Organization
GRETCHEN J BREWER, OD & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN J BREWER OD (PRESIDENT OWNER)
(215) 332-7228
Entity
Organization
Contact information
Practice address
2329 COTTMAN AVE, ROOSEVELT MALL, PHILADELPHIA, PA 19149
(215) 332-7228
(215) 332-9337
Mailing address
2329 COTTMAN AVE, ROOSEVELT MALL, PHILADELPHIA, PA 19149
(215) 332-7228
(215) 332-9337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975355
—
PA
01
—
1354192
PERSONAL CHOICE BLUE CHOI
PA
01
—
2051170000
KEYSTONE HEALTHPLAN EAST
PA
01
—
2988538
AETNA
PW
01
—
GR1354192
PA BLUE SHIELD
PA
Enumeration date
10/06/2006
Last updated
05/29/2014
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