Provider Demographics
NPI:1720044399
Name:CHESTER COUNTY OPTICIANS, INC
Entity Type:Organization
Organization Name:CHESTER COUNTY OPTICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-692-5019
Mailing Address - Street 1:119 E SWEDESFORD RD
Mailing Address - Street 2:FAIRFIELD SHOPPING CENTER
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2333
Mailing Address - Country:US
Mailing Address - Phone:610-594-0800
Mailing Address - Fax:610-594-0800
Practice Address - Street 1:119 E SWEDESFORD RD
Practice Address - Street 2:FAIRFIELD SHOPPING CENTER
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2333
Practice Address - Country:US
Practice Address - Phone:610-594-0800
Practice Address - Fax:610-594-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOP0462OtherEYEMED
PACH285519OtherBLUE SHIELD HIGHMARK
PAPA800OtherVBA
PA056390QE7Medicare ID - Type UnspecifiedMEDICARE
PA056390Medicare PIN
PA0547920004Medicare NSC