Organization
ALPHA OPTICAL CITY LINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN J BREWER OD (PRESIDENT)
(267) 481-2360
Entity
Organization
Contact information
Practice address
7516 CITY AVE, PHILADELPHIA, PA 19151-2102
(215) 878-7181
Mailing address
103 DICKENS CT, NORTH WALES, PA 19454-1622
(267) 481-2360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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