Organization
PHILADELPHIA VISION CENTER OF EXTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RUBIN PRESIDENT OF COMPANY (PRESIDENT OF COMPANY)
(610) 363-8060
Entity
Organization
Contact information
Practice address
442 W LINCOLN HWY, FESTIVAL SHOPPING CENTER, EXTON, PA 19341
(610) 363-8060
(610) 594-8448
Mailing address
442 W LINCOLN HWY, FESTIVAL SHOPPING CENTER, EXTON, PA 19341
(610) 363-8060
(610) 594-8448
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49820
DAVIS VISION
—
01
—
PH535897
HIGHMARK BCBS
PA
Enumeration date
05/08/2007
Last updated
08/22/2020
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