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PHILADELPHIA EYECARE PROFESSIONALS LLC NPI 1598068504


NPI Information

NPI: 1598068504
Provider Name: PHILADELPHIA EYECARE PROFESSIONALS, LLC

Doing Business As: PHILADELPHIA EYECARE PROFESSIONALS, LLC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1601 S COLUMBUS BLVD
VISION CENTER INSIDE WALMART
PHILADELPHIA, PA
ZIP 19148
Phone: (215) 389-5814
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PHILADELPHIA EYECARE PROFESSIONALS, LLC is an optometrist in Philadelphia, PA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PHILADELPHIA EYECARE PROFESSIONALS, LLC NPI is 1598068504. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Philadelphia Eyecare Professionals, Llc.

The provider's business location address is:

1601 S COLUMBUS BLVD
VISION CENTER INSIDE WALMART
PHILADELPHIA, PA
ZIP 19148-400
Phone: (215) 389-5814
Fax: (215) 755-6561

The provider's authorized official is Lisa Buraks .
The authorized official title is Owner and has the following contact phone number (215) 530-3112.

The enumeration date for this NPI number is 12/13/2010 and was last updated on 4/11/2011.


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
1152W00000XOptometristOEG000739PENNSYLVANIAYes

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
10015391140003MEDICAIDPENNSYLVANIA
2BU202875MEDICARE PINPENNSYLVANIA

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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