Healthcare Provider Details

I. General information

NPI: 1366408916
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: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

929 S HIGH ST PARKWAY SHOPPING CENTER
WEST CHESTER PA
19382-5466
US

IV. Provider business mailing address

929 S HIGH ST PARKWAY SHOPPING CENTER
WEST CHESTER PA
19382-5466
US

V. Phone/Fax

Practice location:
  • Phone: 610-692-5019
  • Fax: 610-696-8308
Mailing address:
  • Phone: 610-692-5019
  • Fax: 610-696-8308

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