Healthcare Provider Details

I. General information

NPI: 1174589733
Provider Name (Legal Business Name): CHESTER COUNTY OPTICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 10/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 PAOLI PIKE WEST GOSHEN SHOPPING CENTER
WEST CHESTER PA
19380-4527
US

IV. Provider business mailing address

923 PAOLI PIKE WEST GOSHEN SHOPPING CENTER
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 Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: ROBERT W STRATTON
Title or Position: PRESIDENT
Credential:
Phone: 610-692-5019