Provider Demographics
NPI:1750179768
Name:YOUR EYE ASSOCIATES LLC
Entity type:Organization
Organization Name:YOUR EYE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-256-6735
Mailing Address - Street 1:426 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2350
Mailing Address - Country:US
Mailing Address - Phone:215-256-6735
Mailing Address - Fax:215-256-9931
Practice Address - Street 1:1919 CHESTNUT ST LBBY 105
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3456
Practice Address - Country:US
Practice Address - Phone:215-563-8440
Practice Address - Fax:215-567-4993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUR EYE ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty