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Contact Information

BROOKHAVEN FAMILY EYE CARE CENTER
4106 EDGMONT AVE
BROOKHAVEN, PA19015-2314
 Phone: 610-872-8989
 Fax: 610-872-5220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BROOKHAVEN FAMILY EYE CARE CENTER · (Female)

NPI # 1760490494
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2006
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # OEG001547
  • PA Other 2628516 AETNA GROUP HMO
  • PA Other 5498366 AETNA UNIVERSAL GROUP
  • PA Other 001429488 HIGHMARK
  • PA Other 2115330000 INDEPENDENCE BLUE CROSS
  • PA Other CM9120 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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