Provider Demographics
NPI:1174589733
Name:CHESTER COUNTY OPTICIANS INC
Entity type:Organization
Organization Name:CHESTER COUNTY OPTICIANS INC
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 1:923 PAOLI PIKE
Mailing Address - Street 2:WEST GOSHEN SHOPPING CENTER
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4527
Mailing Address - Country:US
Mailing Address - Phone:610-692-8300
Mailing Address - Fax:610-692-6007
Practice Address - Street 1:923 PAOLI PIKE
Practice Address - Street 2:WEST GOSHEN SHOPPING CENTER
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4527
Practice Address - Country:US
Practice Address - Phone:610-692-8300
Practice Address - Fax:610-692-6007
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHESTER COUNTY OPTICIANS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-04-24
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPA923OtherVBA
PAPW5019OtherDAVIS
PAOP0462OtherEYEMED
PAPA923OtherVBA
PAOP0462OtherEYEMED
PAPW5019OtherDAVIS