Healthcare Provider Details

I. General information

NPI: 1013926146
Provider Name (Legal Business Name): CHESTER COUNTY OPTICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 PAOLI PIKE
WEST CHESTER PA
19380-4527
US

IV. Provider business mailing address

923 PAOLI PIKE
WEST CHESTER PA
19380-4527
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-8300
  • Fax: 610-692-6007
Mailing address:
  • Phone: 610-692-8300
  • Fax: 610-692-6007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DANIEL P JOHNSON
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 610-692-8300