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TRI-STATE EYE ASSOC. NPI 1851446918


NPI Information

NPI: 1851446918
Provider Name: TRI-STATE EYE ASSOC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
4101 TYSON AVE
PHILADELPHIA, PA
ZIP 19135
Phone: (215) 624-0500
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TRI-STATE EYE ASSOC. is an ophthalmology in Philadelphia, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TRI-STATE EYE ASSOC. NPI is 1851446918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 TYSON AVE
PHILADELPHIA, PA
ZIP 19135-615
Phone: (215) 624-0500
Fax: (215) 333-1195

The provider's authorized official is Edward W Gerner .
The authorized official title is Physician and has the following contact phone number (215) 624-0500.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/21/2010.


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
1207W00000XOphthalmologyMD018913EPENNSYLVANIAYes

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
1B39763MEDICARE UPINPENNSYLVANIA

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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