Organization
EYE INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHIMA MAJOR OD, FAAO (OPTOMETRIST)
(610) 446-3939
Entity
Organization
Contact information
Practice address
1204 TOWNSHIP LINE RD, 1ST FLOOR, DREXEL HILL, PA 19026-5034
(610) 446-3939
(610) 446-3938
Mailing address
1204 TOWNSHIP LINE RD, 1ST FLOOR, DREXEL HILL, PA 19026-5034
(610) 446-3939
(610) 446-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6314320001
MEDICARE PTAN
PA
Enumeration date
09/22/2008
Last updated
07/12/2010
Update your record
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