RAEBERN OPTICAL LLC NPI 1588708416

NPI Information

NPI: 1588708416
Provider Name: RAEBERN OPTICAL, LLC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
2101 SOLLY AVE
PHILADELPHIA, PA
ZIP 19152
Phone: (215) 745-1996
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RAEBERN OPTICAL, LLC is an optician technician technologist in Philadelphia, PA. RAEBERN OPTICAL, LLC NPI is 1588708416. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2101 SOLLY AVE
PHILADELPHIA, PA
ZIP 19152-804
Phone: (215) 745-1996
Fax: (215) 745-1996

The provider's authorized official is Rivka Goldman .
The authorized official title is Partner and has the following contact phone number (215) 745-1996.

The enumeration date for this NPI number is 2/16/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician			Yes

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

NPI Synchronization or Removal

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