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General NPI Number Information
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NPI Number | 1649141292
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Entity Type | Organization
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Legal Business Name | EUROOPTICA LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1916 WELSH RD STE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4681
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Country | US
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Telephone | 215-934-6440
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Fax | 215-934-6422
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Provider Business Mailing Address
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Address Line | 1916 WELSH RD STE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19115-4681
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Country | US
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Telephone | 215-934-6440
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Fax | 215-934-6422
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | MICHAEL MCDERMOTT
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Credential |
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Telephone | 215-934-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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