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PHILADELPHIA VISION CENTER NPI 1457380552


NPI Information

NPI: 1457380552
Provider Name: PHILADELPHIA VISION CENTER
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
2385 W CHELTENHAM AVE
CHELTENHAM SQUARE MALL
PHILADELPHIA, PA
ZIP 19150
Phone: (215) 885-8500
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PHILADELPHIA VISION CENTER is a corneal and contact management optometrist in Philadelphia, PA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. PHILADELPHIA VISION CENTER NPI is 1457380552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2385 W CHELTENHAM AVE
CHELTENHAM SQUARE MALL
PHILADELPHIA, PA
ZIP 19150-506
Phone: (215) 885-8500

The provider's authorized official is David Boisselle .
The authorized official title is Owner and has the following contact phone number (215) 885-8500.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.


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
1152WC0802XOptometristCorneal and Contact ManagementOB007398APENNSYLVANIAYes

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
101430122MEDICAIDPENNSYLVANIA

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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