Provider Demographics
NPI:1265667307
Name:SPECTACLES UNLIMITED
Entity type:Organization
Organization Name:SPECTACLES UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MANSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-663-9700
Mailing Address - Street 1:309 HUNTINGDON PIKE
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:PA
Mailing Address - Zip Code:19046-4447
Mailing Address - Country:US
Mailing Address - Phone:215-663-9700
Mailing Address - Fax:
Practice Address - Street 1:309 HUNTINGDON PIKE
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:PA
Practice Address - Zip Code:19046-4447
Practice Address - Country:US
Practice Address - Phone:215-663-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001326152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0669190001Medicare NSC