Provider Demographics
NPI:1851169163
Name:FAB EYE CARE CENTER, PC
Entity Type:Organization
Organization Name:FAB EYE CARE CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:FABRIZIANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-933-1144
Mailing Address - Street 1:286 GRIFFEN ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4448
Mailing Address - Country:US
Mailing Address - Phone:610-933-1144
Mailing Address - Fax:610-933-7067
Practice Address - Street 1:270 LANCASTER AVE STE F1
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1858
Practice Address - Country:US
Practice Address - Phone:610-647-6550
Practice Address - Fax:610-647-6549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty