Provider Demographics
NPI:1013325687
Name:SCHUELLER-GRUZIN, SYLVIA (OD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:SCHUELLER-GRUZIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:H
Other - Last Name:SCHUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4642 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1103
Mailing Address - Country:US
Mailing Address - Phone:215-757-0749
Mailing Address - Fax:
Practice Address - Street 1:326 NESHAMINY MALL
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1103
Practice Address - Country:US
Practice Address - Phone:215-953-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007320152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist