NOSTALGIC EYECARE INC (NPI# 1417300849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417300849 |
| Entity Type | Organization |
| Organization Name | NOSTALGIC EYECARE INC |
| Practice Address |
1319 Bruce Rd Apartment B Oreland PA 19075-1819 |
| Mailing Address |
6656 Germantown Ave Suite 1 Philadelphia PA 19119-2163 |
| Practice Telephone | 7188252067 |
| Mailing Telephone | 7188252067 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2017-01-11 |
| Authorized Official Name | KENNARD L HERRING (OWNER) |
| Authorized Official Telephone | 7188252067 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
OEG002906 | PA | Ambulatory Health Care Facilities |
| Street Address |
1319 BRUCE RD APARTMENT B |
| City | ORELAND |
| State | PA |
| Zip Code | 19075-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225127012 | Mark Ross Stover | Dentist | 214 East Pennsylvania Ave., Oreland, PA 19075 | 2006-10-12 |
| 1558910372 | Margaret M Thompson | Registered Nurse | 300 Garden Rd, Oreland, PA 19075-1108 | 2019-09-04 |
| 1831335835 | Lenore Buntin Plotkin | Internal Medicine | 216 Mill Rd, Oreland, PA 19075-1112 | 2008-12-21 |
| 1437455896 | Taryn Fine | Speech-Language Pathologist | 221 Belmont Ave, Oreland, PA 19075-1209 | 2011-02-02 |
| 1538682984 | Mary Ellen Kutch | Behavior Technician | 221 Belmont Ave, Oreland, PA 19075-1209 | 2017-07-18 |
| 1821458092 | Aba Connections of Pa, LLC | Early Intervention Provider Agency | 221 Belmont Ave, Oreland, PA 19075-1209 | 2016-03-02 |
| 1295176485 | Rose Hoffer | Behavioral Analyst | 221 Belmont Ave, Oreland, PA 19075-1209 | 2013-07-16 |
| 1477743201 | Dr. Cheryl Haag | Durable Medical Equipment & Medical Supplies | 214 Pennsylvania Ave, Oreland, PA 19075-1230 | 2007-07-27 |
| 1245319839 | Family Vision Care | Preferred Provider Organization | 210 Pennsylvania Ave, Oreland, PA 19075-1230 | 2006-11-03 |
| 1316990427 | John M Sweeney | Physical Therapist | 216 Pennsylvania Ave, Oreland, PA 19075-1230 | 2006-05-18 |
| Find all providers in zip 19075 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.