| Ophthalmic Surgical Associates Inc | |
|
30 Medical Center Blvd Ste 104, Chester, PA 19013-3955 | |
| (610) 874-5261 | |
| (610) 874-0318 |
| Full Name | Ophthalmic Surgical Associates Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 30 Medical Center Blvd Ste 104, Chester, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619921327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | John C Witherell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811984206 PECOS PAC ID: 8325020316 Enrollment ID: I20040603000585 |
| Provider Name | Christopher A Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225001845 PECOS PAC ID: 4284606799 Enrollment ID: I20040806000155 |
| Provider Name | Megan Buliano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598739567 PECOS PAC ID: 7517915820 Enrollment ID: I20050104000247 |
| Provider Name | Scott J Fudemberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568510675 PECOS PAC ID: 3476653270 Enrollment ID: I20070710000012 |
| Provider Name | Anand V Mantravadi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063591402 PECOS PAC ID: 1658471453 Enrollment ID: I20070710000019 |
| Provider Name | Deepika Bagga |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568592665 PECOS PAC ID: 1557417094 Enrollment ID: I20090924000139 |
| Provider Name | Sheldon Morris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821080532 PECOS PAC ID: 7618000258 Enrollment ID: I20100803000125 |
| Provider Name | John P Noyes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710054390 PECOS PAC ID: 7113232646 Enrollment ID: I20150813009392 |
| Provider Name | Elina Dorfman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811348121 PECOS PAC ID: 5890083711 Enrollment ID: I20161010001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Ophthalmic Surgical Associates Inc 30 Medical Center Blvd Ste 104, Chester, PA 19013-3955 Ph: (610) 874-5261 | Ophthalmic Surgical Associates Inc 30 Medical Center Blvd Ste 104, Chester, PA 19013-3955 Ph: (610) 874-5261 |