| |
373 W Lancaster Ave, Wayne, PA 19087-3926 | |
(610) 687-5331 | |
(610) 687-1485 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 373 W Lancaster Ave, Wayne, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831307867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
373 W Lancaster Ave, Wayne, PA 19087-3926 Ph: (610) 687-5331 | 373 W Lancaster Ave, Wayne, PA 19087-3926 Ph: (610) 687-5331 |