Provider Demographics
NPI:1922103910
Name:OXFORD VALLEY EYE ASSOCIATES PC
Entity Type:Organization
Organization Name:OXFORD VALLEY EYE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER MANGER
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-752-3939
Mailing Address - Street 1:172 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1871
Mailing Address - Country:US
Mailing Address - Phone:215-752-3511
Mailing Address - Fax:215-752-1189
Practice Address - Street 1:172 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1871
Practice Address - Country:US
Practice Address - Phone:215-752-3511
Practice Address - Fax:215-752-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015297E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE55447Medicare UPIN
PA065801Medicare ID - Type Unspecified