Organization
LAFAYETTE EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY N. ITZENSON O.D. (OWNER)
(610) 825-3937
Entity
Organization
Contact information
Practice address
413 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1816
(610) 825-3937
(610) 825-0381
Mailing address
413 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1816
(610) 825-3937
(610) 825-0381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE006115T
PA
Other
Enumeration date
09/23/2005
Last updated
11/01/2012
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