Provider Demographics
NPI:1548235070
Name:THORP BAILEY WEBER EYE ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:THORP BAILEY WEBER EYE ASSOCIATES, LTD.
Other - Org Name:TB OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/VICE PRESIDENT - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:215-836-1290
Mailing Address - Street 1:4060 BUTLER PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1560
Mailing Address - Country:US
Mailing Address - Phone:215-836-1290
Mailing Address - Fax:215-233-3421
Practice Address - Street 1:4060 BUTLER PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1560
Practice Address - Country:US
Practice Address - Phone:215-836-1290
Practice Address - Fax:215-233-3421
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THORP BAILEY WEBER EYE ASSOCIATES, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-20
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0868020001Medicare NSC