Provider Demographics
NPI:1366569113
Name:EYE CARE FOR YOU INC.
Entity type:Organization
Organization Name:EYE CARE FOR YOU INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOD
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOZARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-500-1578
Mailing Address - Street 1:972 MANOR AVE.
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1324
Mailing Address - Country:US
Mailing Address - Phone:215-947-1829
Mailing Address - Fax:215-572-6308
Practice Address - Street 1:1495 OLD YORK RD
Practice Address - Street 2:TARGET OPTICAL
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1923
Practice Address - Country:US
Practice Address - Phone:215-572-6098
Practice Address - Fax:215-572-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET009021152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA90463OtherHIGHMARK
PA50154OtherAETNA
PA00862590Medicaid
PA397253OtherNATIONAL VISION ADM.
PA00862590Medicaid