Organization Name: | PHILADELPHIA VISION CENTER OF ERIE AVE INC |
NPI Number: | 1235378688 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE L SHAPIRO (OWNER/OPTICIAN) |
Mailing Address: | 1348 W Erie Ave Philadelphia |
State: | PA US |
Postal Code: | 191404254 |
Phone Number: | 2152235000 |
Fax Number: | 2152239180 |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 03/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 003502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |