Provider Demographics
NPI:1689347957
Name:MARVEL SPECIALITY CARE SERVICES INC
Entity Type:Organization
Organization Name:MARVEL SPECIALITY CARE SERVICES INC
Other - Org Name:MARVEL VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYEKHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-789-2700
Mailing Address - Street 1:8232 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2723
Mailing Address - Country:US
Mailing Address - Phone:610-789-2700
Mailing Address - Fax:
Practice Address - Street 1:8232 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2723
Practice Address - Country:US
Practice Address - Phone:610-789-2700
Practice Address - Fax:610-789-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-31
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty