Healthcare Provider Details

I. General information

NPI: 1720913924
Provider Name (Legal Business Name): PENNSYLVANIA EYE CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 N FRANKLIN ST
DOYLESTOWN PA
18901-3536
US

IV. Provider business mailing address

1782 TURK RD
DOYLESTOWN PA
18901-2811
US

V. Phone/Fax

Practice location:
  • Phone: 215-876-0104
  • Fax:
Mailing address:
  • Phone: 215-876-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: NATALIA KOBRENKO
Title or Position: PRESIDENT
Credential: OD
Phone: 215-876-0104