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NEURO-OPHTHALMOLOGIC ASSOCIATES PC NPI 1093714420


NPI Information

NPI: 1093714420
Provider Name: NEURO-OPHTHALMOLOGIC ASSOCIATES PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
840 WALNUT ST
SUITE 930
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 928-3130
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NEURO-OPHTHALMOLOGIC ASSOCIATES PC is an ophthalmology in Philadelphia, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NEURO-OPHTHALMOLOGIC ASSOCIATES PC NPI is 1093714420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

840 WALNUT ST
SUITE 930
PHILADELPHIA, PA
ZIP 19107-109
Phone: (215) 928-3130
Fax: (215) 592-1923

The provider's authorized official is Robert Charles Sergott .
The authorized official title is President and has the following contact phone number (215) 928-3130.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 6/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMD031030LPENNSYLVANIANo
2207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000252102MEDICAIDDELAWARE
21077900001MEDICARE NSCPENNSYLVANIA
3039391OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
4086967MEDICARE PINNEW JERSEY
50060163000OTHERINDEPENDENCE BLUE CROSS
6006013MEDICARE PINDELAWARE
7039391MEDICARE PINPENNSYLVANIA
83528804MEDICAIDNEW JERSEY
9490562MEDICARE PINDELAWARE
10000688737MEDICAIDPENNSYLVANIA

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: 11/14/2023

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