Provider Demographics
NPI:1578674701
Name:BUCKS COUNTY FAMILY EYE CARE, PC
Entity Type:Organization
Organization Name:BUCKS COUNTY FAMILY EYE CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAJNU
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-240-3291
Mailing Address - Street 1:4201 NESHAMINY BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1609
Mailing Address - Country:US
Mailing Address - Phone:215-355-6909
Mailing Address - Fax:
Practice Address - Street 1:4201 NESHAMINY BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1609
Practice Address - Country:US
Practice Address - Phone:215-355-6909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000237152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6715880001Medicare NSC