Eye Site

NPI #1104008416 in Glenolden, Pennsylvania

Provider Information

NPI Number: 1104008416
Entity Type: Organization
Organization Name: Eye Site
Primary Specialty: Optometrist
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 30 S MACDADE BLVD
City: Glenolden
State: Pennsylvania
ZIP Code: 19036-1725
Phone: (610) 586-0651

Authorized Official

Name: MRS. DIANE WALKER
Title: OWNER
Phone: (610) 586-0651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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