Organization
TUS OJOS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILFREDO MANZANO CO (OWNER OPTICIAN)
(215) 707-0450
Entity
Organization
Contact information
Practice address
100 E LEHIGH AVENUE, STE 201 MEDICAL ARTS BUILDING, PHILADELPHIA, PA 19125
(215) 707-0450
(215) 707-0451
Mailing address
PO BOX 60980, PHILADELPHIA, PA 19133
(215) 707-0450
(215) 707-0457
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/01/2006
Last updated
09/30/2019
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