Provider Demographics
NPI:1689713778
Name:ALLIED EYE CARE OF DOYLESTOWN LLC
Entity Type:Organization
Organization Name:ALLIED EYE CARE OF DOYLESTOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:GOTTLIEB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-348-3127
Mailing Address - Street 1:4391 W SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1039
Mailing Address - Country:US
Mailing Address - Phone:215-348-3127
Mailing Address - Fax:
Practice Address - Street 1:4391 W SWAMP RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1039
Practice Address - Country:US
Practice Address - Phone:215-348-3127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000334152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1139923OtherAETNA
PA2674217000OtherKEYSTONE
PA2674217000OtherPERSONAL CHOICE
PA=========OtherCIGNA
PA1139923OtherAETNA