Brandywine Eye Center PA

NPI #1447559992 in Newark, Delaware

Provider Information

NPI Number: 1447559992
Entity Type: Organization
Organization Name: Brandywine Eye Center PA
Subpart: Yes (part of a larger organization)
Parent Organization: BRANDYWINE EYE CENTER PA
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 23, 2011
Last Updated: Jul 5, 2012

Practice Location

Address: 2600 GLASGOW AVE
Address 2: SUITE 206
City: Newark
State: Delaware
ZIP Code: 19702-4773
Phone: (302) 832-0700

Authorized Official

Name: DR. RICHARD LESLIE SHERRY, MD
Title: OWNER
Phone: (302) 475-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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