Healthcare Provider Details

I. General information

NPI: 1487383683
Provider Name (Legal Business Name): MSC VISION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 LEOPARD RD
PAOLI PA
19301-1518
US

IV. Provider business mailing address

31 LEOPARD RD
PAOLI PA
19301-1518
US

V. Phone/Fax

Practice location:
  • Phone: 484-595-0345
  • Fax: 484-595-0163
Mailing address:
  • Phone: 484-595-0345
  • Fax: 484-595-0163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MARLA CLAMAN
Title or Position: OPTOMETRIST/SOLE OPERATOR
Credential: OD
Phone: 610-506-4738