| |
5001 Frankford Ave, Philadelphia, PA 19124-2619 | |
(215) 288-5000 | |
(215) 744-1233 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5001 Frankford Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942231758 | NPI | - | NPPES |
0009231760017 | Medicaid | PA | |
0603090001 | Other | PA | DURABLE MEDEICAL EQUIPMEN |
16795 | Other | PA | SPECTERA GROUP # |
PA10000 | Other | PA | VBA GROUP # |
16787 | Other | PA | SPECTERA GROUP # |
0009231760014 | Medicaid | PA | |
32060 | Other | PA | DAVIS VISION FR GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG001731 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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5001 Frankford Ave, Philadelphia, PA 19124-2619 Ph: (215) 288-5000 | 5001 Frankford Ave, Philadelphia, PA 19124-2619 Ph: (215) 288-5000 |