Organization
HENDRICKS & SIDEBOTTOM OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LAURENCE SIDEBOTTOM (OWNER OPTICIAN)
(610) 644-2020
Entity
Organization
Contact information
Practice address
500 CHESTERBROOK BLVD, STE C5A, WAYNE, PA 19087-5608
(610) 644-2020
Mailing address
500 CHESTERBROOK BLVD, STE C5A, WAYNE, PA 19087-5608
(610) 644-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
01/17/2009
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