Eye Surgical Medical Associates Pc | |
8118 Bustleton Ave, Phila, PA 19152-2803 | |
(215) 342-8118 | |
(215) 725-4999 |
Full Name | Eye Surgical Medical Associates Pc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 8118 Bustleton Ave, Phila, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558305219 | NPI | - | NPPES |
890541 | Other | PA | HIGHMARK BLUE SHIELD |
00531400000 | Other | PA | DENNIS J KHOURY MD |
0010888550007 | Medicaid | PA | |
114458 | Other | PA | HIGHMARK BLUE SHIELD |
57346 | Other | PA | AETNA |
CF4471 | Other | PA | RAILROAD MEDICARE |
0053194000 | Other | PA | M SHAYEGAN MD |
2740362000 | Other | PA | IBC |
0053171000 | Other | PA | KEYSTONE |
180010359 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OE005574 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | (Pennsylvania) | Primary |
332H00000X | Eyewear Supplier | (Pennsylvania) | Secondary |
Provider Name | Benjamin Alan Kauffman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245265578 PECOS PAC ID: 9335143874 Enrollment ID: I20060914000225 |
Provider Name | Michael J Sponberg |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578532826 PECOS PAC ID: 4587858618 Enrollment ID: I20101102000831 |
Provider Name | Dennis J Khoury |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942269048 PECOS PAC ID: 8527057728 Enrollment ID: I20110601000501 |
Provider Name | Mustapha Shayegan |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1780653139 PECOS PAC ID: 5890784094 Enrollment ID: I20110607000404 |
Provider Name | Felina Z Kremer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871852376 PECOS PAC ID: 2567750581 Enrollment ID: I20170630000504 |
Mailing Address | Practice Location Address |
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Eye Surgical Medical Associates Pc 8118 Bustleton Ave, Phila, PA 19152 Ph: (215) 342-8118 | Eye Surgical Medical Associates Pc 8118 Bustleton Ave, Phila, PA 19152-2803 Ph: (215) 342-8118 |