Provider Demographics
NPI:1518107549
Name:JOHN F. VILCHECK, JR. O.D.
Entity Type:Organization
Organization Name:JOHN F. VILCHECK, JR. O.D.
Other - Org Name:JOHN F. VILCHECK, JR. O.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:VILCHECK
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:610-383-6449
Mailing Address - Street 1:644 E REECEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1232
Mailing Address - Country:US
Mailing Address - Phone:610-383-6449
Mailing Address - Fax:610-383-1227
Practice Address - Street 1:644 E REECEVILLE RD
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1232
Practice Address - Country:US
Practice Address - Phone:610-383-6449
Practice Address - Fax:610-383-1227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0026939000OtherINDEPENDENCE BLUE CROSS HMO
PA000080240OtherHIGHMARK BLUE CROSS
PA0026939000OtherINDEPENDENCE BLUE CROSS PPO
PAT28266Medicare UPIN