Provider Demographics
NPI:1366480097
Name:TWER OPHTHALMOLOGY ASSOC., P.C.
Entity Type:Organization
Organization Name:TWER OPHTHALMOLOGY ASSOC., P.C.
Other - Org Name:TWER EYE CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:TWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-742-7474
Mailing Address - Street 1:7900 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3303
Mailing Address - Country:US
Mailing Address - Phone:215-742-7474
Mailing Address - Fax:
Practice Address - Street 1:7900 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3303
Practice Address - Country:US
Practice Address - Phone:215-742-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA520176Medicare ID - Type Unspecified