Optical is a
Ophthalmology based in Philadelphia, Pennsylvania. Optical is licensed to practice in * (Not Available) (license number ) and their current practice location is
10160 Bustleton Ave, Philadelphia, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(215) 934-7655.
NPI number for Optical is 1457406795 and their current mailing address is 5001 Frankford Ave, Philadelphia, Pennsylvania. Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457406795.
Healthcare Provider's Profile
| Full Name | Optical |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 10160 Bustleton Ave, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457406795
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457406795 | NPI | - | NPPES |
| 0603090004 | Other | PA | DURABLE MEDICAL EQUIPMENT |
| 0009231760014 | Medicaid | PA | |
| 0009231760017 | Medicaid | PA | |
| 16795 | Other | PA | SPECTERA |
| PA10000 | Other | PA | VBA |
| 24609 | Other | PA | SPECTERA DISPENSING |
| 39974 | Other | PA | DAVIS VISION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OEG001731 (Pennsylvania) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Optical
5001 Frankford Ave,
Philadelphia, PA 19124-2619
Ph: (215) 288-5000 | Optical
10160 Bustleton Ave,
Philadelphia, PA 19116-3749
Ph: (215) 934-7655 |
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