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PHILADELPHIA VISION CENTER OF ERIE AVE INC NPI 1235378688


NPI Information

NPI: 1235378688
Provider Name: PHILADELPHIA VISION CENTER OF ERIE AVE INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1348 W ERIE AVE
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 223-5000
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PHILADELPHIA VISION CENTER OF ERIE AVE INC is an eyewear supplier in Philadelphia, PA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PHILADELPHIA VISION CENTER OF ERIE AVE INC NPI is 1235378688. The provider is registered as an organization entity type.

The provider's business location address is:

1348 W ERIE AVE
PHILADELPHIA, PA
ZIP 19140-254
Phone: (215) 223-5000
Fax: (215) 223-9180

The provider's authorized official is Steve L Shapiro .
The authorized official title is Owner/optician and has the following contact phone number (215) 223-5000.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 3/28/2015.


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
1332H00000XEyewear Supplier003502PENNSYLVANIAYes

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
16176920001MEDICARE NSCPENNSYLVANIA
21028724530001MEDICAIDPENNSYLVANIA

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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