Organization
EYE CONSULTANTS OF PENNSYLVANIA, PC
Active
Parent organization
EYE CONSULTANTS OF PENNSYLVANIA, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CONSULTANTS OF PENNSYLVANIA, PC
Authorized official
MR. CHARLES I BUSACK MHA (ADMINISTRATOR)
(610) 378-1348
Entity
Organization
Contact information
Practice address
219 E WESNER RD, BLANDON, PA 19510-9729
(610) 926-4241
(610) 926-8160
Mailing address
1 GRANITE POINT DR STE 100, WYOMISSING, PA 19610-1992
(610) 378-1344
(610) 378-5169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006688410018
—
PA
05
—
0006688410023
—
PA
Enumeration date
11/09/2010
Last updated
01/03/2025
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