Provider Demographics
NPI:1932165594
Name:CHESTER COUNTY OPTICIANS
Entity type:Organization
Organization Name:CHESTER COUNTY OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-692-5019
Mailing Address - Street 1:841 E BALTIMORE PIKE
Mailing Address - Street 2:SHOPPES AT LONGWOOD
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1801
Mailing Address - Country:US
Mailing Address - Phone:610-444-5252
Mailing Address - Fax:610-444-4211
Practice Address - Street 1:841 E BALTIMORE PIKE
Practice Address - Street 2:SHOPPES AT LONGWOOD
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1801
Practice Address - Country:US
Practice Address - Phone:610-444-5252
Practice Address - Fax:610-444-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAKS5252OtherDAVIS
PACH285519OtherBLUE SHIELD HIGHMARK
PAOP0462OtherEYEMED
PA056390QE7Medicare ID - Type UnspecifiedMEDICARE
PAKS5252OtherDAVIS