Healthcare Provider Details

I. General information

NPI: 1548254626
Provider Name (Legal Business Name): SHILLINGTON EYE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 03/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 E LANCASTER AVE
SHILLINGTON PA
19607-1371
US

IV. Provider business mailing address

453 E LANCASTER AVE
SHILLINGTON PA
19607-1371
US

V. Phone/Fax

Practice location:
  • Phone: 610-775-3321
  • Fax:
Mailing address:
  • Phone: 610-775-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: W. DAVID RULE
Title or Position: OPTOMETRIST
Credential: O.D.
Phone: 610-775-3321