Organization
JB POPIVCHAK INC
Active
Other names
Wetherill Opticians Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BASIL POPIVCHAK SR. (PRESIDENT)
(215) 345-0401
Entity
Organization
Contact information
Practice address
10 W OAKLAND AVE, DOYLESTOWN, PA 18901-4209
(215) 345-0401
Mailing address
10 W OAKLAND AVE, DOYLESTOWN, PA 18901-4209
(215) 345-0401
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
81119717
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36899
DAVIS VISION PANEL#
PA
01
—
J 288190
HIGHMARK CLARITY VISION#
PA
Enumeration date
01/25/2007
Last updated
03/05/2008
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