OrganizationActive
Eye Site
NPI 1104008416 · Optometrist · Glenolden, PA
Provider details
- NPI number
- 1104008416
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Diane Walker, Owner(610) 586-0651
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 S Macdade Blvd
Glenolden, PA 19036-1725
Phone: (610) 586-0651
Approximate (ZIP-level) locationGet directions
Mailing address
30 S Macdade Blvd
Glenolden, PA 19036-1725
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.