National Provider Identifier Database

BROOKHAVEN FAMILY EYE CARE CENTER
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


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
* Optometrist 152W00000X
Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for BROOKHAVEN FAMILY EYE CARE CENTER

NPI Number 1760490494
Legal business name
LBN
BROOKHAVEN FAMILY EYE CARE CENTER
Authorized official MICAELA SMALL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/05/2006
Last updated 05/14/2024 - About 2 years ago
Sole proprietor1 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

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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