MEDICARE: CHESTER COUNTY OPTICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA923	OTHER	PA	VBA
2	PW5019	OTHER	PA	DAVIS
3	OP0462	OTHER	PA	EYEMED

General Provider Information

NPI Number	:	1174589733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESTER COUNTY OPTICIANS INC

Provider Business Mailing Address
First Line	:	923 PAOLI PIKE
Second Line	:	WEST GOSHEN SHOPPING CENTER
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4527
Country	:	US
Telephone Number	:	610-692-8300
Fax Number	:	610-692-6007

Provider Business Practice Location Address
First Line	:	923 PAOLI PIKE
Second Line	:	WEST GOSHEN SHOPPING CENTER
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4527
Country	:	US
Telephone Number	:	610-692-8300
Fax Number	:	610-692-6007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT W STRATTON
Credential	:
Telephone Number	:	610-692-5019

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	10/22/2013

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Directions to “CHESTER COUNTY OPTICIANS INC ” Practice Location

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