Organization
PHILADELPHIA VISION CENTER OF MONTGOMERY COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOISSELLE (OWNER)
(215) 885-8500
Entity
Organization
Contact information
Practice address
2401 W CHELTENHAM AVE, SUITE 230, WYNCOTE, PA 19095-2946
(215) 885-8500
Mailing address
2401 W CHELTENHAM AVE STE 230, WYNCOTE, PA 19095-2946
(215) 885-8500
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OB007398A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430122
—
PA
Enumeration date
07/01/2006
Last updated
08/29/2023
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