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Organization

DOCTOR OF EYEBALLS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRETT NEAL OD (PRESIDENT)
(610) 828-9701
Entity
Organization

Contact information

Practice address
828 FAYETTE ST, CONSHOHOCKEN, PA 19428-1709
(610) 828-9701
(610) 828-4157
Mailing address
828 FAYETTE ST, CONSHOHOCKEN, PA 19428-1709
(610) 828-9701
(610) 828-4157

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001838
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001838
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG001838
PA
152WP0200X
Pediatric Optometrist
OEG001838
PA
152WS0006X
Sports Vision Optometrist
OEG001838
PA
152WV0400X
Vision Therapy Optometrist
OEG001838
PA
152WX0102X
Occupational Vision Optometrist
OEG001838
PA
207W00000X
Ophthalmology Physician
OEG001838
PA

Other

Enumeration date
07/26/2014
Last updated
12/19/2014
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