| Collazo Ophthalmology & Optometry | |
|
4231 N 5th St, Philadelphia, PA 19140-2602 | |
| (215) 455-1010 | |
| Not Available |
| Full Name | Collazo Ophthalmology & Optometry |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4231 N 5th St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780955575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OE006393T (Pennsylvania) | Primary |
| 207W00000X | Ophthalmology | OE006393T (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | OE006393T (Pennsylvania) | Secondary |
| Provider Name | Joseph M Ortiz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235126624 PECOS PAC ID: 4284653759 Enrollment ID: I20051114000851 |
| Provider Name | Rafael S Collazo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528152774 PECOS PAC ID: 1355527011 Enrollment ID: I20110512000796 |
| Provider Name | Javier Miguel De Jesus Orpi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629120605 PECOS PAC ID: 4880858661 Enrollment ID: I20200121000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Collazo Ophthalmology & Optometry Po Box 1141, Bala Cynwyd, PA 19004-5141 Ph: (215) 455-1010 | Collazo Ophthalmology & Optometry 4231 N 5th St, Philadelphia, PA 19140-2602 Ph: (215) 455-1010 |
Nia Phillips, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6096 | |
Daniel Hoffman, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Carlo J Pelino, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Jean Marie Pagani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6167 | |
Angela Tempesta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 W Girard Ave, Philadelphia, PA 19123 Phone: 215-554-6222 | |
Elizabeth Marie Marunde, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Melissa A Vitek, OPTOMETRIST Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 |