Provider Demographics
NPI:1518177393
Name:TWENTYTWENTYHEALTHCARE
Entity Type:Organization
Organization Name:TWENTYTWENTYHEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DORAY
Authorized Official - Middle Name:IBRAHIM
Authorized Official - Last Name:GURKAYNAK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-506-3114
Mailing Address - Street 1:512 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1409
Mailing Address - Country:US
Mailing Address - Phone:610-506-3114
Mailing Address - Fax:610-642-0941
Practice Address - Street 1:512 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1409
Practice Address - Country:US
Practice Address - Phone:610-506-3114
Practice Address - Fax:610-642-0941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty