| |
1937 Macdade Blvd, Folsom, PA 19033-1214 | |
(610) 537-4407 | |
(610) 583-3593 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1937 Macdade Blvd, Folsom, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346886264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
4000 Luxottica Pl, Attn Medicare Dept, Mason, OH 45040 Ph: (513) 765-6000 | 1937 Macdade Blvd, Folsom, PA 19033-1214 Ph: (610) 537-4407 |