Organization
OPHTHALMIC PARTNERS OF PENNSYLVANIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA LEE JD (EXECUTIVE DIRECTOR)
(484) 434-2700
Entity
Organization
Contact information
Practice address
100 PRESIDENTIAL BLVD, SUITE 200, BALA CYNWYD, PA 19004-1108
(484) 434-2700
(610) 660-0419
Mailing address
100 PRESIDENTIAL BLVD, SUITE 200, BALA CYNWYD, PA 19004-1108
(484) 434-2700
(610) 660-0419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002793
PA
207W00000X
Ophthalmology Physician
Primary
MD052294L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010607290012
—
PA
Enumeration date
02/10/2006
Last updated
07/01/2014
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