Provider Demographics
NPI:1760810469
Name:ANYTHING OPTICAL INC
Entity Type:Organization
Organization Name:ANYTHING OPTICAL INC
Other - Org Name:EVERYTHING OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-364-6564
Mailing Address - Street 1:2046 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1739
Mailing Address - Country:US
Mailing Address - Phone:215-364-6564
Mailing Address - Fax:215-364-6563
Practice Address - Street 1:2046 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1739
Practice Address - Country:US
Practice Address - Phone:215-364-6564
Practice Address - Fax:215-364-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty