Vision On The Move
Clinic/Center, Primary Care in Eddystone, PA. Organization (NPI-2).
NPI number1164035267
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1164035267
- Entity type
- Organization (NPI-2)
- Legal business name
- Vision On The Move
- Organization subpart
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 27, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1015 Toll StEddystone, PA 19022-1451
Phone 718-753-5808
Mailing address
1015 Toll StEddystone, PA 19022-1451
Phone 718-753-5808
Authorized official
Kim Hunter
Dispensing Optician
7187535808
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