Healthcare Provider Details

I. General information

NPI: 1922103910
Provider Name (Legal Business Name): OXFORD VALLEY EYE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 MIDDLETOWN BLVD SUITE 200
LANGHORNE PA
19047-1871
US

IV. Provider business mailing address

172 MIDDLETOWN BLVD SUITE 200
LANGHORNE PA
19047-1871
US

V. Phone/Fax

Practice location:
  • Phone: 215-752-3511
  • Fax: 215-752-1189
Mailing address:
  • Phone: 215-752-3511
  • Fax: 215-752-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD015297E
License Number StatePA

VIII. Authorized Official

Name: DEB BRADY
Title or Position: BILLER MANGER
Credential:
Phone: 215-752-3939