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DR. BRANDY SCOMBORDI-RAGHU OPTOMETRIST NPI 1336159268


NPI Information

NPI: 1336159268
Provider Name: DR. BRANDY SCOMBORDI-RAGHU, OPTOMETRIST
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: SALUS UNIVERSITY

PECOS Registration: Yes

Address:
1200 W GODFREY AVE
PHILADELPHIA, PA
ZIP 19141
Phone: (215) 276-6000
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DR. Brandy Scombordi-raghu, OPTOMETRIST is a pediatrics optometrist in Philadelphia, PA with 26 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Brandy Scombordi-raghu, OPTOMETRIST NPI is 1336159268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:1998

The provider's business location address is:

1200 W GODFREY AVE
PHILADELPHIA, PA
ZIP 19141-323
Phone: (215) 276-6000
Fax: (215) 276-1329

The NPI 1336159268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/9/2006 and was last updated on 3/22/2012.


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
1152WP0200XOptometristPediatricsOEG000420PENNSYLVANIAYes

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
12248OTHERPENNSYLVANIAAETNA HMO
22299722000OTHERPENNSYLVANIAKEYSTONE EAST
3U74080MEDICARE UPINPENNSYLVANIA
4024491MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
51622822OTHERPENNSYLVANIABLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.