| Jordan M Chilla, OD | |
|
402 Bayard Rd Ste 200, Kennett Square, PA 19348-1862 | |
| (484) 770-8132 | |
| Not Available |
| Full Name | Jordan M Chilla |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 402 Bayard Rd Ste 200, Kennett Square, Pennsylvania |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174019962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG003411 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ganly Vision Care, Pc | 8921153503 | 3 |
| Provider Name | Ganly Vision Care, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922235456 PECOS PAC ID: 8921153503 Enrollment ID: O20090903000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan M Chilla, OD 402 Bayard Rd Ste 200, Kennett Square, PA 19348-1862 Ph: (484) 770-8132 | Jordan M Chilla, OD 402 Bayard Rd Ste 200, Kennett Square, PA 19348-1862 Ph: (484) 770-8132 |
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