Provider Demographics
NPI:1124577341
Name:EYE CARE ASSOCIATES OF PENNSYLVANIA, P.C.
Entity Type:Organization
Organization Name:EYE CARE ASSOCIATES OF PENNSYLVANIA, P.C.
Other - Org Name:CHESTER COUNTY OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLINGER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSTICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-310-9946
Mailing Address - Street 1:4119 MAUCH CHUNK RD
Mailing Address - Street 2:#C
Mailing Address - City:COPLAY
Mailing Address - State:PA
Mailing Address - Zip Code:18037-2106
Mailing Address - Country:US
Mailing Address - Phone:610-799-2020
Mailing Address - Fax:610-799-4399
Practice Address - Street 1:923 PAOLI PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4527
Practice Address - Country:US
Practice Address - Phone:610-692-8300
Practice Address - Fax:610-692-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty