Provider Demographics
NPI:1811991854
Name:WEST READING OPTICAL INC
Entity type:Organization
Organization Name:WEST READING OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-372-2222
Mailing Address - Street 1:301 PENN AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1128
Mailing Address - Country:US
Mailing Address - Phone:610-375-8347
Mailing Address - Fax:610-372-5537
Practice Address - Street 1:301 PENN AVE
Practice Address - Street 2:STE 100
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1128
Practice Address - Country:US
Practice Address - Phone:610-375-8347
Practice Address - Fax:610-372-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4994980001Medicare NSC