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Organization

PHILADELPHIA EYE ASSOCIATES

Active
Other names
Philadelphia Eye Associates of South Jersey
Organization subpart
No

Provider details

NPI number
Authorized official
MEGAN DEMOND (PRACTICE ADMINISTRATOR)
(267) 449-0879
Entity
Organization

Contact information

Practice address
1930 S BROAD ST UNIT 16, PHILADELPHIA, PA 19145-2328
(800) 448-6767
(215) 339-8103
Mailing address
1930 S BROAD ST UNIT 9, PHILADELPHIA, PA 19145-2328
(215) 339-8100
(215) 339-8103

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008666880003
PA
Enumeration date
08/09/2005
Last updated
04/17/2026
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