RAEBERN OPTICAL, LLC (NPI# 1588708416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588708416 |
| Entity Type | Organization |
| Organization Name | RAEBERN OPTICAL, LLC |
| Practice Address |
2101 Solly Ave Philadelphia PA 19152-2804 |
| Practice Telephone | 2157451996 |
| Practice Fax Number | 2157451996 |
| Mailing Telephone | 2157451996 |
| Mailing Fax Number | 2157451996 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RIVKA GOLDMAN (PARTNER) |
| Authorized Official Telephone | 2157451996 |
| 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 |
| Street Address |
2101 SOLLY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871635656 | Rivka Goldman | Technician/Technologist | 2101 Solly Ave, Philadelphia, PA 19152-2804 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| 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 | 19152 |
Please comment or provide details below to improve the information on RAEBERN 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.