Healthcare Provider Details

I. General information

NPI: 1326228263
Provider Name (Legal Business Name): BUCKS COUNTY ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 FREEDOM DR
NEWTOWN PA
18940-1589
US

IV. Provider business mailing address

400 FREEDOM DR
NEWTOWN PA
18940-1589
US

V. Phone/Fax

Practice location:
  • Phone: 215-968-9400
  • Fax: 215-968-2127
Mailing address:
  • Phone: 215-968-9400
  • Fax: 215-968-2127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225CX0006X
TaxonomyOrientation and Mobility Training Rehabilitation Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. MINDY PITKOFSKY
Title or Position: CEO
Credential:
Phone: 215-968-9400