NPI 1861631475

CT Eyecare LLC

Organisation Point of Service Philadelphia, PA

Practice location

Address: 305 S 60th St, Philadelphia, PA 19143-1101
Phone: (215) 474-1390

Authorised official

Name: Ayodale Castillo Tan
Title: President
Phone: (215) 834-2965

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Pennsylvania →

Registry record

NPI: 1861631475
Entity type: Organization
NPI issued: 5 Feb 2009
Record last updated: 5 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.