| Leslie Gauntlett, OD | |
|
180 W Girard Ave Ste 5, Philadelphia, PA 19123-1660 | |
| (215) 554-6222 | |
| Not Available |
| Full Name | Leslie Gauntlett |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 180 W Girard Ave Ste 5, 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 |
|---|---|---|---|
| 1871071969 | NPI | - | NPPES |
| 103831526 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 008856 (New York) | Secondary |
| 152W00000X | Optometrist | OEG003712 (Pennsylvania) | Primary |
| Provider Name | Trend Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457780595 PECOS PAC ID: 4486882842 Enrollment ID: O20140109000565 |
| Provider Name | Trend Eye Care Ii Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285029223 PECOS PAC ID: 7416264247 Enrollment ID: O20150911000253 |
| Provider Name | Harbison Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174182588 PECOS PAC ID: 7810223500 Enrollment ID: O20190802000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Gauntlett, OD 180 W Girard Ave Ste 5, Philadelphia, PA 19123-1660 Ph: () - | Leslie Gauntlett, OD 180 W Girard Ave Ste 5, Philadelphia, PA 19123-1660 Ph: (215) 554-6222 |
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 |