Organization
COLLEGEVILLE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN R. WILTON M.D. (OWNER/OPHTHALMOLOGIST)
(610) 489-8137
Entity
Organization
Contact information
Practice address
753 W MAIN ST, SUITE D, TRAPPE, PA 19426-1948
(610) 489-8137
(610) 489-8139
Mailing address
753 W MAIN ST, SUITE D, TRAPPE, PA 19426-1948
(610) 489-8137
(610) 489-8139
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
PA
Other
Enumeration date
03/17/2014
Last updated
05/13/2015
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