Provider Demographics
NPI:1184003584
Name:DR ALLAN S TOCKER & ASSOCIATES OPTOMETRY PA
Entity Type:Organization
Organization Name:DR ALLAN S TOCKER & ASSOCIATES OPTOMETRY PA
Other - Org Name:EXTON VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-363-6203
Mailing Address - Street 1:121 JOHN ROBERT THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2654
Mailing Address - Country:US
Mailing Address - Phone:610-363-6203
Mailing Address - Fax:610-363-6226
Practice Address - Street 1:121 JOHN ROBERT THOMAS DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2654
Practice Address - Country:US
Practice Address - Phone:610-363-6203
Practice Address - Fax:610-363-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty