GREAT AMERICAN OPTICAL NPI 1457519696

NPI Information

NPI: 1457519696
Provider Name: GREAT AMERICAN OPTICAL

Doing Business As: JELIMEBURNER

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1831 CHESTNUT ST
PHILA, PA
ZIP 19103
Phone: (215) 557-0564
Get Directions

GREAT AMERICAN OPTICAL is an eyewear supplier in Phila, PA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GREAT AMERICAN OPTICAL NPI is 1457519696. The provider is registered as an organization entity type.
The provider Is Doing Business As Jelimeburner.

The provider's business location address is:

1831 CHESTNUT ST
PHILA, PA
ZIP 19103-713
Phone: (215) 557-0564
Fax: (215) 557-0567

The provider's authorized official is John Paul Catrino .
The authorized official title is Owner and has the following contact phone number (215) 557-0564.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4501370001	MEDICARE NSC	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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