Provider Demographics
NPI:1578084877
Name:WHARTON EYE ASSOCIATES PA
Entity Type:Organization
Organization Name:WHARTON EYE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:979-533-0047
Mailing Address - Street 1:10119 US HWY 59 SOUTH
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488
Mailing Address - Country:US
Mailing Address - Phone:979-533-7337
Mailing Address - Fax:979-488-2918
Practice Address - Street 1:10119 US HWY 59 SOUTH
Practice Address - Street 2:SUITE 4
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488
Practice Address - Country:US
Practice Address - Phone:979-533-7337
Practice Address - Fax:979-488-2918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty