Organization Name: | PHILADELPHIA VISION CENTER |
NPI Number: | 1255343612 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN L SHAPRIO (OWNER) |
Mailing Address: | 526 Penn St Reading |
State: | PA US |
Postal Code: | 196021096 |
Phone Number: | 6103752200 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |