Hendricks & Sidebottom Opticians
Technician/Technologist, Optician in Wayne, PA. Organization (NPI-2).
NPI number1912035098
StatusActive
Last updated in NPPESJan 17, 2009
Details
- NPI
- 1912035098
- Entity type
- Organization (NPI-2)
- Legal business name
- Hendricks & Sidebottom Opticians
- Organization subpart
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Jan 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
500 Chesterbrook BlvdSte C5a
Wayne, PA 19087-5608
Phone 610-644-2020
Mailing address
500 Chesterbrook BlvdSte C5a
Wayne, PA 19087-5608
Phone 610-644-2020
Authorized official
William Laurence Sidebottom
Owner Optician
6106442020
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