Organization
FAMILY VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JACOB SUSCAVAGE OD (MANAGING MEMBER)
(215) 368-4660
Entity
Organization
Contact information
Practice address
1601 S VALLEY FORGE RD, LANSDALE, PA 19446-5450
(215) 368-4660
(215) 368-7176
Mailing address
1601 S VALLEY FORGE RD, LANSDALE, PA 19446-5450
(215) 368-4660
(215) 368-7176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001503
PA
Other
Enumeration date
06/14/2007
Last updated
06/30/2008
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