MEDICARE: CHESTER COUNTY EYE CARE ASSOC PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	152W00000X	Optometrist
2	207W00000X	Ophthalmology Physician	PA
3	152W00000X	Optometrist	PA
4	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588666200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESTER COUNTY EYE CARE ASSOC PC

Provider Business Mailing Address
First Line	:	915 OLD FERN HILL RD BLDG B STE 200
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4269
Country	:	US
Telephone Number	:	610-696-1230
Fax Number	:	610-918-0803

Provider Business Practice Location Address
First Line	:	915 OLD FERN HILL RD BLDG B STE 200
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4269
Country	:	US
Telephone Number	:	610-696-1230
Fax Number	:	610-696-2341

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. BRUCE R SARAN
Credential	:	MD
Telephone Number	:	610-696-1230

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/21/2022

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Directions to “CHESTER COUNTY EYE CARE ASSOC PC ” Practice Location

Language	Start Address	Practice Location

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