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Organization

CT EYECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AYODALE CASTILLO TAN (PRESIDENT)
(215) 834-2965
Entity
Organization

Contact information

Practice address
305 S 60TH ST, PHILADELPHIA, PA 19143-1101
(215) 474-1390
Mailing address
305 S 60TH ST, PHILADELPHIA, PA 19143-1101

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
02/05/2009
Last updated
02/05/2009
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Product
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  • Eligibility checks
  • EDI platform