Juan E Rodriguez, OD | |
6201 N Front St, Philadelphia, PA 19120-1541 | |
(215) 927-2211 | |
Not Available |
Full Name | Juan E Rodriguez |
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Gender | Male |
Speciality | Optometrist |
Location | 6201 N Front St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720128408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001095 (Pennsylvania) | Primary |
Provider Name | Family Vision Enterprises |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235697061 PECOS PAC ID: 5597715045 Enrollment ID: O20050124000335 |
Mailing Address | Practice Location Address |
---|---|
Juan E Rodriguez, OD 6201 N Front St, Philadelphia, PA 19120-1541 Ph: (215) 927-2211 | Juan E Rodriguez, OD 6201 N Front St, Philadelphia, PA 19120-1541 Ph: (215) 927-2211 |
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 |