Provider Demographics
NPI:1427500651
Name:NEURO OPTOMETRY ASSOCIATES OF WARMINSTER LLC
Entity type:Organization
Organization Name:NEURO OPTOMETRY ASSOCIATES OF WARMINSTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-512-2063
Mailing Address - Street 1:3225 COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1633
Mailing Address - Country:US
Mailing Address - Phone:631-512-2063
Mailing Address - Fax:215-565-2572
Practice Address - Street 1:100 E STREET RD
Practice Address - Street 2:VISION CENTER IN WAL MART
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3400
Practice Address - Country:US
Practice Address - Phone:215-293-9015
Practice Address - Fax:215-565-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002574152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty