Organization
ALLENTOWN VISION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY R. FEDER O.D. (OPTOMETRIST)
(610) 395-7360
Entity
Organization
Contact information
Practice address
1575 POND RD, SUITE 103, ALLENTOWN, PA 18104-2254
(610) 395-7360
(610) 395-7728
Mailing address
1575 POND RD, SUITE 103, ALLENTOWN, PA 18104-2254
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OEG001554
PA
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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