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NPI Code Detail

MEDICARE: EYE CAR OPTICAL CENTER

MEDICARE: EYE CAR OPTICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site9155210PA

General Provider Information

NPI Number : 1306966262
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE CAR OPTICAL CENTER
Provider Business Mailing Address
First Line : 1004 PINE VALLEY CIR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-5284
Country : US
Telephone Number : 610-431-4545
Fax Number : 610-622-0310
Provider Business Practice Location Address
First Line : 925 PROVIDENCE RD
Second Line :
City : SECANE
State : PA
Zip : 19018-2920
Country : US
Telephone Number : 610-622-0310
Fax Number : 610-622-0310
Authorized Official
Title or Position : OWNER
Name : MR. WILLIAM EUGENE ALFANO JR.
Credential : OPTICIAN
Telephone Number : 610-622-0310
Provider Enumeration Date : 04/01/2007
Last Update Date : 06/23/2008

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Directions to “EYE CAR OPTICAL CENTER ” Practice Location

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