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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396752465 | NPPES |
| Pennsylvania | MEDICAID | 101002165-0001 | |
| Pennsylvania | Other | OEG000124 |
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