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467 Macdade Blvd, Collingdale, PA 19023-3209 | |
(610) 586-1506 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 467 Macdade Blvd, Collingdale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598971632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OEG000985 (Pennsylvania) | Primary |
Provider Name | John J Burrell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801874367 PECOS PAC ID: 9739365420 Enrollment ID: I20110513000258 |
Provider Name | Amalia Catherine Burrell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821660572 PECOS PAC ID: 0143625707 Enrollment ID: I20210819000841 |
Mailing Address | Practice Location Address |
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467 Macdade Blvd, Collingdale, PA 19023-3209 Ph: (610) 586-1506 | 467 Macdade Blvd, Collingdale, PA 19023-3209 Ph: (610) 586-1506 |