MEDICARE: CHESTER COUNTY OPTICIANS, INC

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
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH285519	OTHER	PA	BLUE SHIELD HIGHMARK
2	TH9595	OTHER	PA	DAVIS
3	OP0462	OTHER	PA	EYEMED
4	PA9595	OTHER	PA	VBA

General Provider Information

NPI Number	:	1407812076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESTER COUNTY OPTICIANS, INC

Provider Business Mailing Address
First Line	:	3921 W LINCOLN HWY
Second Line	:	CALN VILLAGE SHOPPING CENTER
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-5502
Country	:	US
Telephone Number	:	610-269-9595
Fax Number	:	610-269-9613

Provider Business Practice Location Address
First Line	:	3921 W LINCOLN HWY
Second Line	:	CALN VILLAGE SHOPPING CENTER
City	:	DOWNINGTOWN
State	:	PA
Zip	:	19335-5502
Country	:	US
Telephone Number	:	610-269-9595
Fax Number	:	610-269-9613

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT W STRATTON
Credential	:
Telephone Number	:	610-692-5019

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	10/22/2013

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Directions to “CHESTER COUNTY OPTICIANS, INC ” Practice Location

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