MRS. BERNADETTE FORD


Address: 715 S Ithan St, Philadelphia, PA 19143-2809
Phone: 2158331417

MRS. BERNADETTE FORD (NPI# 1548513625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548513625
Entity Type Individual
Full Name MRS. BERNADETTE FORD
Practice Address 715 S Ithan St
Philadelphia
PA 19143-2809
Mailing Address 1450 Point Breeze Ave
Philadelphia
PA 19146-4522
Practice Telephone 2158331417
Practice Fax Number 2154634762
Mailing Telephone 2158331417
Mailing Fax Number 2154634762
Enumeration Date 2012-10-26
Last Update Date 2012-10-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 715 S ITHAN ST
City PHILADELPHIA
State PA
Zip Code 19143-2809

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

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.

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