Organization
GREGG FAMILY EYE CARE RPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MATTHEW GREGG O.D. (OWNER/OPTOMETRIST)
(610) 543-1219
Entity
Organization
Contact information
Practice address
1266 PROVIDENCE RD, SECANE, PA 19018-2802
(610) 543-1219
(610) 543-1524
Mailing address
1266 PROVIDENCE RD, SECANE, PA 19018-2802
(610) 543-1219
(610) 543-1524
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001809
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG001809
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG001809
PA
Other
Enumeration date
10/25/2012
Last updated
04/24/2014
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