Provider Demographics
NPI:1922785229
Name:ALTEMUS FAMILY EYE CARE PLLC
Entity Type:Organization
Organization Name:ALTEMUS FAMILY EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTEMUS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:267-218-4413
Mailing Address - Street 1:10 W OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4209
Mailing Address - Country:US
Mailing Address - Phone:215-345-0401
Mailing Address - Fax:
Practice Address - Street 1:10 W OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4209
Practice Address - Country:US
Practice Address - Phone:215-345-0401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty