MEDICARE: A & J OPTICAL 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	156FX1800X	Optician

General Provider Information

NPI Number	:	1235558123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & J OPTICAL INC

Provider Business Mailing Address
First Line	:	8002 FRANKFORD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19136-2616
Country	:	US
Telephone Number	:	215-338-7645
Fax Number	:	215-613-5047

Provider Business Practice Location Address
First Line	:	8002 FRANKFORD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19136-2616
Country	:	US
Telephone Number	:	215-338-7645
Fax Number	:	215-613-5047

Authorized Official
Title or Position	:	OPTICIAN/PRES
Name	:	MR. ALAN SPEAR
Credential	:
Telephone Number	:	215-338-7645

Provider Enumeration Date	:	04/08/2014
Last Update Date	:	04/08/2014

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Directions to “A & J OPTICAL INC ” Practice Location

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