Provider Demographics
NPI:1588627327
Name:GLASSES GALORE
Entity Type:Organization
Organization Name:GLASSES GALORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:215-547-9602
Mailing Address - Street 1:437 S OXFORD VALLEY RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-4202
Mailing Address - Country:US
Mailing Address - Phone:215-547-9602
Mailing Address - Fax:
Practice Address - Street 1:2842 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1543
Practice Address - Country:US
Practice Address - Phone:215-947-7263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLASSES GALORE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-11
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5444600001OtherDME
PA5428600001OtherDME