Eagle Eye Vision, LLC
Optometrist in Media, PA. Organization (NPI-2).
NPI number1992847693
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992847693
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Eye Vision, LLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG001133 | PA | Yes |
Practice location
1067 W Baltimore PikeMedia, PA 19063-5121
Phone 610-565-9564
Mailing address
61 Morning Glory WayHuntingdon Valley, PA 19006-5451
Phone 215-938-0385 · Fax 215-938-1583
Authorized official
Shana Farber Korman
Doctor
2159380385
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