Organization
EYELASH VISION, LLC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOJEH MOHTASHAMI STORE GEN. MANAGER (PRESIDENT/MANAGING PARTNER)
(610) 831-1100
Entity
Organization
Contact information
Practice address
500 BROAD STREET, SUITE 3, COLLEGEVILLE, PA 19426-4912
(610) 831-1100
(610) 831-1108
Mailing address
855 RICHARDS RD, WAYNE, PA 19087-1043
(610) 783-0301
(610) 831-1108
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
PA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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