Organization
SARAH BRUNO O.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH M BRUNO O.D. (OWNER/OPTOMETRIST)
(610) 459-2020
Entity
Organization
Contact information
Practice address
98 WILMINGTON W CHESTER PIKE, SUITE102, CHADDS FORD, PA 19317-9010
(610) 459-2020
Mailing address
4 THISTLE LN, MEDIA, PA 19063-5627
(215) 840-9705
(610) 558-7831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001785
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3816083000
PERSONAL CHOICE / KEYSTONE HEALTH PLAN
PA
01
—
YDK6
MEDICARE GROUP SUFFIX
PA
Enumeration date
11/29/2010
Last updated
10/17/2014
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