Provider Demographics
NPI:1760437503
Name:HUNTINGDON VALLEY EYE CARE CONSULTANTS, LTD.
Entity Type:Organization
Organization Name:HUNTINGDON VALLEY EYE CARE CONSULTANTS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KOLLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-947-6660
Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:215-947-6660
Mailing Address - Fax:215-947-7425
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 150
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-947-6660
Practice Address - Fax:215-947-7425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty