Individual
DR. MARY B OKOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2300 COMPUTER AVENUE, SUITE A2, WILLOW GROVE, PA 19090-1733
(215) 659-1155
(215) 659-1178
Mailing address
2300 COMPUTER AVENUE, SUITE A2, WILLOW GROVE, PA 19090-1733
(215) 659-1155
(215) 659-1178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000124
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101002165-0001
—
PA
01
—
OEG000124
LICENSE
PA
Enumeration date
08/02/2006
Last updated
06/23/2009
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