Organization
EYE OPTIONS COTTMAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M ARAUJO (GM)
(215) 745-1444
Entity
Organization
Contact information
Practice address
2139 COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 745-1444
(215) 745-1448
Mailing address
2139 COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 745-1444
(215) 745-1448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640312
—
PA
01
—
2193348000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/24/2006
Last updated
08/31/2010
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