Organization
CENTRAL CITY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN XU (OPTOMETRIST/OWNER)
(215) 873-0340
Entity
Organization
Contact information
Practice address
105 N 9TH ST, PHILADELPHIA, PA 19107-2410
(215) 873-0340
(215) 873-0343
Mailing address
105 N 9TH ST, PHILADELPHIA, PA 19107-2410
(215) 873-0340
(215) 873-0343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031384300001
—
PA
Enumeration date
12/10/2009
Last updated
02/07/2024
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