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Organization

EYE CHECK VISION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIS DENNIS GRAJALES O.D. (OPTOMETRIST)
(484) 288-0315
Entity
Organization

Contact information

Practice address
275 N GULPH RD, KING OF PRUSSIA, PA 19406-2803
(484) 288-0315
Mailing address
275 LIVE OAK LN, WEST CHESTER, PA 19380-6759
(484) 288-0315

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG002888
PA

Other

Enumeration date
06/16/2016
Last updated
07/15/2016
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