| |
4119c Mauch Chunk Rd, Coplay, PA 18037-2106 | |
(610) 799-2020 | |
(610) 799-4399 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 4119c Mauch Chunk Rd, Coplay, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235371683 | NPI | - | NPPES |
0018518950002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
4119c Mauch Chunk Rd, Coplay, PA 18037-2106 Ph: (610) 799-2020 | 4119c Mauch Chunk Rd, Coplay, PA 18037-2106 Ph: (610) 799-2020 |