Organization
WILLS EYE OPTICAL THREE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN ESQUIRE (CHIEF OPERATING OFFICER)
(215) 440-3147
Entity
Organization
Contact information
Practice address
901 E 8TH AVE STE 101, KING OF PRUSSIA, PA 19406-1354
(610) 265-1188
Mailing address
840 WALNUT ST, PHILADELPHIA, PA 19107-5109
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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