Organization
BOAS VISION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B BOAS OD (CO-OWNER/OPTOMETRIST)
(610) 363-2303
Entity
Organization
Contact information
Practice address
577 W UWCHLAN AVE, EXTON, PA 19341
(610) 363-2303
Mailing address
577 W UWCHLAN AVE, EXTON, PA 19341-1563
(610) 363-2303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001802523
HIGHMARK BLUESHIELD ID
PA
01
—
2184691
AETNAHMO
PA
01
—
2639875000
IBX KEYSTONE HMO
PA
Enumeration date
12/14/2006
Last updated
08/01/2018
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