Organization
EYE CONSULTANTS OF PENNSYLVANIA, PC
Active
Parent organization
EYE CONSULTANTS OF PENNSYLVANIA, PC
Other names
EYE CONSULTANTS OF PENNSYLVANIA, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CONSULTANTS OF PENNSYLVANIA, PC
Authorized official
MR. CHARLES I BUSACK MHA (ADMINISTRATOR)
(610) 378-1348
Entity
Organization
Contact information
Practice address
293 ARMAND HAMMER BLVD, POTTSTOWN, PA 19464-7002
(610) 327-8528
(610) 327-4155
Mailing address
1 GRANITE POINT DR STE 100, WYOMISSING, PA 19610-1992
(610) 378-1344
(610) 378-5169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0109X
Neuro-ophthalmology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
207WX0120X
Cornea and External Diseases Specialist Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006688410019
—
PA
05
—
0006688410024
—
PA
Enumeration date
08/29/2007
Last updated
06/23/2023
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