| Garnet Valley Eye Care Pc | |
|
494 Conchester Hwy Aston PA 19014-1855 | |
| (610) 859-0120 | |
| Not Available |
| Full Name | Garnet Valley Eye Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 494 Conchester Hwy, Aston, Pennsylvania |
| Authorized Official Name and Position | Holly Salloga (OPTOMETRIST) |
| Authorized Official Contact | 6108598030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garnet Valley Eye Care Pc 494 Conchester Hwy Aston PA 19014-3129 Ph: (610) 859-0120 | Garnet Valley Eye Care Pc 494 Conchester Hwy Aston PA 19014-1855 Ph: (610) 859-0120 |
| NPI Number | 1548658180 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 07/28/2016 |
| Medicare PECOS PAC ID | 2163739798 |
|---|---|
| Medicare Enrollment ID | O20150915002213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548658180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OE008544T (Pennsylvania) | Primary |
| Provider Name | Holly Sue Salloga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447225024 PECOS PAC ID: 5193742773 Enrollment ID: I20150408000786 |
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