Brandywine Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1989016780 Issued in DE

Legal business name

BRANDYWINE OPTICAL INC

Practice address

3606 Silverside Rd
Wilmington, DE 19810-5191

Phone

(302) 479-9455

Fax

(302) 479-5349

NPI assigned

Nov 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George C Wash

Title

President

Phone

(302) 479-9455

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1487834859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198105191",
            "telephone_number": "302-479-9455",
            "fax_number": "302-479-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198105191",
            "telephone_number": "302-479-9455",
            "fax_number": "302-479-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WASH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-479-9455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "DE",
            "license": "1989016780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Eyewear Supplier in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.