MEDICARE: MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1245845742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	706 GRAPE ST
Second Line	:
City	:	WHITEHALL
State	:	PA
Zip	:	18052-5207
Country	:	US
Telephone Number	:	610-266-7700
Fax Number	:	610-266-9300

Authorized Official
Title or Position	:	SECRETARY
Name	:	SUE DOWNES
Credential	:
Telephone Number	:	703-847-8899

Provider Enumeration Date	:	09/11/2020
Last Update Date	:	05/27/2022

Similar Medicare Providers

1942205745 — DR. DANA MIGNOGNA O.D.
Practice Location Address:

706 GRAPE ST
WHITEHALL, PA
18052-5207

Practice Phone: 610-266-7700
Practice Fax: 610-266-9300

1346345121 — DR. JENNIFER MARIE PETRUSKA OD
Practice Location Address:

706 GRAPE ST
WHITEHALL, PA
18052-5207

Practice Phone: 610-266-7700
Practice Fax: 610-266-9300

1164522124 — DR. MATTHEW PAUL MIGNOGNA O.D.
Practice Location Address:

706 GRAPE ST
WHITEHALL, PA
18052-5207

Practice Phone: 610-266-7700
Practice Fax:

1770810160 — MARGARET DISALVI WOLF OT/L
Practice Location Address:

706 GRAPE ST
WHITEHALL, PA
18052-5207

Practice Phone: 610-266-7700
Practice Fax: 610-266-9300

1720910938 — DALLAH EXPRESS LLC
Practice Location Address:

1869 SUNSET DR
WHITEHALL, PA
18052-4127

Practice Phone: 201-985-4887
Practice Fax:

1023614393 — KAITLYN M GRAFFIN CRNP
Practice Location Address:

2363 MACARTHUR RD
WHITEHALL, PA
18052-4523

Practice Phone: 484-822-6000
Practice Fax: 484-822-6010

Directions to “MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.