Organization
WICHRYK EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONI MICHAEL WICHRYK O.D. (PRESIDENT)
(610) 965-1800
Entity
Organization
Contact information
Practice address
6451 VILLAGE LN, SUITE 200, MACUNGIE, PA 18062-8484
(610) 965-1800
Mailing address
6451 VILLAGE LN, SUITE 200, MACUNGIE, PA 18062-8484
(610) 965-1800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000242
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017439
AETNA US HEALTHCARE
PA
01
—
267858
BLUE SHIELD
PA
Enumeration date
07/15/2006
Last updated
12/11/2014
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