INNERVISION OPTICAL LLC. (NPI# 1336393198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336393198 |
| Entity Type | Organization |
| Organization Name | INNERVISION OPTICAL LLC. |
| Other Organization Name | INNERVISION FINE EYEWEAR |
| Practice Address |
1700 Sansom St Philadelphia PA 19103-5234 |
| Practice Telephone | 2158320350 |
| Practice Fax Number | 2158320357 |
| Mailing Telephone | 2158320350 |
| Mailing Fax Number | 2158320357 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |
| Authorized Official Name | MR. CLIFTON BALTER (OWNER/OPTICIAN/MANAGER) |
| Authorized Official Telephone | 2158320350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| InnerVision Fine Eyewear | Doing Business As Name - Organization |
| Street Address |
1700 SANSOM ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174754758 | Innervision Eyewear Inc. | Eyewear Supplier (Equipment, not the service) | 1700 Sansom St, Philadelphia, PA 19103-5234 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| 1700385101 | Roxanne Merriett | Technician/Technologist | 3810 Pearson Ave, Philadelphia, PA 19114-2833 | 2018-02-12 |
| 1639684665 | Christopher Brown | Technician/Technologist | 6831 N 9th St, Philadelphia, PA 19126-2904 | 2017-12-13 |
| 1740635648 | National Vision, Inc. | Technician/Technologist | 7636 City Line Ave, Philadelphia, PA 19151-2007 | 2016-04-28 |
| 1477982957 | Alan Spear | Technician/Technologist | 6441 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2013-11-05 |
| 1841625928 | Market St Optical Inc | Technician/Technologist | 1325 Market St, Philadelphia, PA 19107-2500 | 2013-09-09 |
| 1831524818 | Chestnut St Optical Inc | Technician/Technologist | 4002 Chestnut St, Philadelphia, PA 19104-3020 | 2013-09-09 |
| 1982039061 | Aramingo Optical Inc | Technician/Technologist | 3853 Aramingo Ave, Philadelphia, PA 19137-1003 | 2013-09-09 |
| 1548513625 | Bernadette Ford | Technician/Technologist | 715 S Ithan St, Philadelphia, PA 19143-2809 | 2012-10-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on INNERVISION OPTICAL LLC..
| 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.