ELISA BANO (NPI# 1679693741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679693741 |
| Entity Type | Individual |
| Full Name | ELISA BANO |
| Credential | OD |
| Practice Address |
5001 Frankford Ave Philadelphia PA 19124-2619 |
| Practice Telephone | (215) 288-5000 |
| Practice Fax Number | 2157441233 |
| Mailing Telephone | (215) 288-5000 |
| Mailing Fax Number | 2157441233 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00851100 | NJ | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG002681 | PA | Eye and Vision Services Providers |
| N | 183700000X | Pharmacy Technician | 5793 | MA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | OEG002681 | 01 |
| Street Address |
5001 FRANKFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618029 | Salvatore Desimone | Ophthalmology | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2005-06-08 |
| 1962003418 | Refocus Eye Health of Pa, P.C. | Optometrist | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2020-11-02 |
| 1871762799 | David B Soll | Ophthalmology | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2008-02-25 |
| 1669569935 | Soll Eye PC of Pa | Eyewear Supplier (Equipment, not the service) | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2006-10-06 |
| 1942231758 | Soll Eye PC of Pa | Optometrist | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2006-07-06 |
| 1194796516 | Richa Yadav | Optometrist | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2006-02-01 |
| 1558360123 | Soll Eye PC of Pa | Optometrist | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2005-07-18 |
| 1083613673 | Soll Eye PC of Nj | Specialist | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2005-07-18 |
| 1932106440 | David S Rho | Ophthalmology | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2005-06-30 |
| 1477550002 | Paul J Driver | Ophthalmology | 5001 Frankford Ave, Philadelphia, PA 19124-2619 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994923 | Chauncey Eyecare Associates Pllc | Optometrist | 6001 N 5th St Ofc, Philadelphia, PA 19120-1873 | 2019-10-28 |
| 1427604982 | Wendy Lin | Optometrist | 2828 Almond St, Philadelphia, PA 19134-4710 | 2019-08-12 |
| 1174182588 | Harbison Eye Care LLC | Optometrist | 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 | 2019-06-10 |
| 1346809738 | Steven Judson Moon | Optometrist | 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 | 2019-06-10 |
| 1639644172 | Om Optical | Optometrist | 1318 Walnut St, Philadelphia, PA 19107-5410 | 2018-10-11 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1508365784 | C Vision Inc | Optometrist | 1230 Chestnut St, Philadelphia, PA 19107-4849 | 2018-02-02 |
| 1043737943 | Wills Eye Optical Two, LLC | Optometrist | 800 Arch St, Philadelphia, PA 19107-3188 | 2017-08-23 |
| 1255854295 | Jin Gao | Optometrist | 602 N 11th St, Philadelphia, PA 19123-3324 | 2017-07-21 |
| 1043765050 | Chauncey Brown Jr. | Optometrist | 6001 N 5th Street, Office, Philadelphia, PA 19120-1825 | 2016-08-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on ELISA BANO.
| 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.