Okoren, Mary B

Okoren, Mary B is an individual health care provider with primary practice located at 2300 Computer Avenue Suite A2, Willow Grove PA 19090-1733. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Okoren, Mary B can be contacted via phone (215) 659-1155.

Contact Information

Primary practice address
2300 Computer Avenue Suite A2 Willow Grove PA 19090-1733
Phone: (215) 659-1155
Fax: (215) 659-1178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000124 Pennsylvania

Profile Details

NPI number 1396752465
LBN Legal business name Okoren, Mary B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jun 23rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396752465 NPPES
Pennsylvania MEDICAID 101002165-0001
Pennsylvania Other OEG000124

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