Provider Demographics
NPI:1639127921
Name:EYE CARE FOR YOU INC
Entity Type:Organization
Organization Name:EYE CARE FOR YOU INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOD
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOZARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-500-1578
Mailing Address - Street 1:972 MANOR AVE
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1324
Mailing Address - Country:US
Mailing Address - Phone:215-500-1578
Mailing Address - Fax:215-572-6308
Practice Address - Street 1:2250 CHEMICAL RD
Practice Address - Street 2:TARGET OPTICAL
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1716
Practice Address - Country:US
Practice Address - Phone:610-276-0045
Practice Address - Fax:610-276-0047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET009021152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00862590Medicaid
PA397170OtherNATIONAL VISION ADM.
PA50154OtherAETNA
PA90463OtherHIGHMARK
PA397170OtherNATIONAL VISION ADM.