Organization
MODERN OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA VERNA O.D. (PRESIDENT)
(610) 662-4855
Entity
Organization
Contact information
Practice address
3300 GRANT AVE STE 21, PHILADELPHIA, PA 19114-2632
(215) 335-9090
(215) 333-5225
Mailing address
3300 GRANT AVE STE 21, PHILADELPHIA, PA 19114-2632
(215) 335-9090
(215) 333-5225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000070
PA
Other
Enumeration date
01/20/2015
Last updated
10/19/2021
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