Healthcare Provider Details

I. General information

NPI: 1508335746
Provider Name (Legal Business Name): EYE KEY RETINA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 SWAMP PIKE STE 400
GILBERTSVILLE PA
19525-9307
US

IV. Provider business mailing address

4423 ROUTE 130 S
BURLINGTON NJ
08016-2385
US

V. Phone/Fax

Practice location:
  • Phone: 610-323-4445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JEREMY AIKEY
Title or Position: PHYSICIAN
Credential: DO
Phone: 610-628-9988