PHILADELPHIA VISION CENTER OF ERIE AVE INC (NPI# 1235378688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235378688 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA VISION CENTER OF ERIE AVE INC |
| Practice Address |
1348 W Erie Ave Philadelphia PA 19140-4254 |
| Practice Telephone | 2152235000 |
| Practice Fax Number | 2152239180 |
| Mailing Telephone | 2152235000 |
| Mailing Fax Number | 2152239180 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2015-03-28 |
| Authorized Official Name | MR. STEVE L SHAPIRO (OWNER/OPTICIAN) |
| Authorized Official Telephone | 2152235000 |
| Authorized Official Credential | ABOC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 003502 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1028724530001 | 05 |
| Street Address |
1348 W ERIE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326109547 | Paul H Roberts | Optometrist | 1348 W Erie Ave, Philadelphia, PA 19140-4254 | 2006-12-12 |
| 1023359650 | Kayla Hong Hoang | Optometrist | 1348 W Erie Ave, Philadelphia, PA 19140-4254 | 2013-03-06 |
| 1467586719 | Steven L Shapiro | Technician/Technologist | 1348 W Erie Ave, Philadelphia, PA 19140-4254 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1376022491 | Cohen Fashion Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1547 W Passyunk Ave, Philadelphia, PA 19145-3029 | 2018-08-09 |
| 1376058255 | Focal Point Eyewear | Eyewear Supplier (Equipment, not the service) | 2320 E Allegheny Ave, Philadelphia, PA 19134-4432 | 2017-12-13 |
| 1336687284 | Nv My Eyewear | Eyewear Supplier (Equipment, not the service) | 137 S 52nd St, Philadelphia, PA 19139-3408 | 2017-02-10 |
| 1144694852 | Imperial Vision | Eyewear Supplier (Equipment, not the service) | 3964 North Smedley St., Apt C, Philadelphia, PA 19140 | 2015-11-18 |
| 1083964902 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 7700 Crittenden Ave., Philadelphia, PA 19118 | 2012-09-18 |
| 1013265636 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3586 Aramingo Ave, Philadelphia, PA 19134-4606 | 2012-08-29 |
| 1225383219 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2250 S. Christopher Columbus Blvd., Philadelphia, PA 19148 | 2012-07-17 |
| 1871738310 | Fashion & Quality Optics L.l.c | Eyewear Supplier (Equipment, not the service) | 11890 Bustleton Ave, Philadelphia, PA 19116 | 2008-12-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
Please comment or provide details below to improve the information on PHILADELPHIA VISION CENTER OF ERIE AVE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.