Healthcare Provider Details

I. General information

NPI: 1720044399
Provider Name (Legal Business Name): CHESTER COUNTY OPTICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 E SWEDESFORD RD FAIRFIELD SHOPPING CENTER
EXTON PA
19341-2333
US

IV. Provider business mailing address

119 E SWEDESFORD RD FAIRFIELD SHOPPING CENTER
EXTON PA
19341-2333
US

V. Phone/Fax

Practice location:
  • Phone: 610-594-0800
  • Fax: 610-594-0800
Mailing address:
  • Phone: 610-594-0800
  • Fax: 610-594-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierOP0462
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerEYEMED
# 2
IdentifierCH285519
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE SHIELD HIGHMARK
# 3
IdentifierPA800
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerVBA

VIII. Authorized Official

Name: ROBERT W STRATTON
Title or Position: PRESIDENT
Credential:
Phone: 610-692-5019