MEDICARE: ANYTHING 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	152W00000X	Optometrist	OEG000997	PA

General Provider Information

NPI Number	:	1760810469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANYTHING OPTICAL INC

Provider Business Mailing Address
First Line	:	2046 COUNTY LINE RD
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1739
Country	:	US
Telephone Number	:	215-364-6564
Fax Number	:	215-364-6563

Provider Business Practice Location Address
First Line	:	2046 COUNTY LINE RD
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1739
Country	:	US
Telephone Number	:	215-364-6564
Fax Number	:	215-364-6563

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL W MCDERMOTT
Credential	:	O.D.
Telephone Number	:	215-364-6564

Provider Enumeration Date	:	10/16/2013
Last Update Date	:	01/13/2014

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