Brookhaven Vision Source

Optometrist Center


  
4106 Edgmont Ave, Brookhaven
Pennsylvania, 19015-2314

 610-872-8989     610-872-5220Maps & Directions
Brookhaven Vision Source is a Optometrist Center in Brookhaven, Pennsylvania. It is situated at 4106 Edgmont Ave, Brookhaven and its contact number is 610-872-8989. The authorized person of Brookhaven Vision Source is Micaela L Small who is President of the clinic and their contact number is 610-872-8989. Primary license number for Brookhaven Vision Source is OEG001547 (Optometrist) in Pennsylvania.
Brookhaven Vision Source Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Center Profile:
Brookhaven Vision Source Center speciality, address, contact phone number and fax are as below. Patients can call the eye care center on the below given phone number for appointment.
Specialization: Optometry
Clinic Address:4106 Edgmont Ave, Brookhaven,
Pennsylvania, 19015-2314
Phone:610-872-8989
Fax:610-872-5220
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Micaela L Small
Position: President
Contact Number: 610-872-8989
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Brookhaven Vision Source Center are as mentioned below.
NPI Number: 1760490494
NPI Enumeration Date: 05 Aug, 2006
NPI Last Update On: 14 May, 2024

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brookhaven Vision Source are as mentioned below.
SpecializationLicense NumberStateStatus
Optometrist OEG001547PennsylvaniaPrimary
Eyewear Supplier (equipment, Not The Service) OEG001547PennsylvaniaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2628516OtherPennsylvaniaAetna Group Hmo
CM9120OtherPennsylvaniaRailroad Medicare
5498366OtherPennsylvaniaAetna Universal Group
2115330000OtherPennsylvaniaIndependence Blue Cross
001429488OtherPennsylvaniaHighmark
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Brookhaven Vision Source
4106 Edgmont Ave,
Brookhaven, Pennsylvania
Zip: 19015-2314
Phone Number: 610-872-8989
Fax Number: 610-872-5220
Patients can reach Brookhaven Vision Source at 4106 Edgmont Ave, Brookhaven, Pennsylvania or can call to book an appointment on 610-872-8989. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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