Provider Demographics
NPI:1982477006
Name:CHESTNUT HILL EYE ASSOCIATES, INC
Entity Type:Organization
Organization Name:CHESTNUT HILL EYE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-382-3448
Mailing Address - Street 1:2026 SHADYWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6747
Mailing Address - Country:US
Mailing Address - Phone:410-382-3448
Mailing Address - Fax:
Practice Address - Street 1:14 E HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3308
Practice Address - Country:US
Practice Address - Phone:410-382-3448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty