Organization
PERSONAL EYES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE T HOMA-PALLADINO O.D. (OWNER)
(610) 647-2502
Entity
Organization
Contact information
Practice address
1776 E LANCASTER AVE, 2, PAOLI, PA 19301-1550
(610) 647-2502
(610) 647-2592
Mailing address
1776 E LANCASTER AVE, 2, PAOLI, PA 19301-1550
(610) 647-2502
(610) 647-2592
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170040
MEDICARE PTAN
PA
Enumeration date
12/02/2009
Last updated
08/04/2010
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