Organization
DENNIS J DENICK OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. DENICK OD (OWNER)
(215) 497-1001
Entity
Organization
Contact information
Practice address
459 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-1301
(215) 497-1001
Mailing address
459 W GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-1301
(215) 497-1001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001423
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374619000
PERSONAL CHOICE
PA
01
—
DE1702385
PA BLUE SHIELD
PA
Enumeration date
12/05/2006
Last updated
01/28/2021
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