Provider Demographics
NPI:1972721447
Name:GLASSES HALF FULL
Entity Type:Organization
Organization Name:GLASSES HALF FULL
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-425-4340
Mailing Address - Street 1:512 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1409
Mailing Address - Country:US
Mailing Address - Phone:610-506-3114
Mailing Address - Fax:610-642-0941
Practice Address - Street 1:3400 ARAMINGO AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19134-4531
Practice Address - Country:US
Practice Address - Phone:215-425-4340
Practice Address - Fax:215-426-7689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000832152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty