Provider Demographics
NPI:1801053723
Name:OZER FAMILY VISION CARE LLC
Entity type:Organization
Organization Name:OZER FAMILY VISION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:OZER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-485-1500
Mailing Address - Street 1:2316 MEETINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:BOOTHWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19061-3408
Mailing Address - Country:US
Mailing Address - Phone:610-485-1500
Mailing Address - Fax:610-485-4805
Practice Address - Street 1:2316 MEETINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:BOOTHWYN
Practice Address - State:PA
Practice Address - Zip Code:19061-3408
Practice Address - Country:US
Practice Address - Phone:610-485-1500
Practice Address - Fax:610-485-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2028701OtherHIGHMARK BLUE SHIELD
PA1021949080001Medicaid
PA3503664000OtherINDEPENDENCE BLUE CROSS
PAOP3074OtherAETNA
PA843647OtherADVANTRA FREEDOM
PA410004098OtherMEDICARE RAILROAD
PA9708184OtherAETNA
PADN5437OtherMEDICARE RAILROAD
PA9708184OtherAETNA
PA2028701OtherHIGHMARK BLUE SHIELD