Organization
EVERLASTING EYE CARE 2, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYAN THI NGUYEN OD (PRESIDENT/OWNER)
(610) 491-0663
Entity
Organization
Contact information
Practice address
5900 PERKIOMEN AVE, READING, PA 19606-3635
(610) 349-1066
Mailing address
9 BUCKWALTER CIR, ROYERSFORD, PA 19468-2733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001996
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336331610
OPTOMETRIST
PA
01
—
OEG001996
OPTOMETRIST
PA
Enumeration date
04/17/2018
Last updated
04/17/2018
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