Organization
OM OPTICAL
Active
Other names
Eye Love Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MILLER (PRES)
(215) 370-5431
Entity
Organization
Contact information
Practice address
1318 WALNUT ST, PHILADELPHIA, PA 19107-5410
(215) 370-5431
Mailing address
3617 SIPLER LN, HUNTINGDON VALLEY, PA 19006-3223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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