Philadelphia Eye Associates Of South Jersey | |
1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | |
(800) 448-6767 | |
(215) 339-8103 |
Full Name | Philadelphia Eye Associates Of South Jersey |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1930 S Broad St Unit 16, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922009596 | NPI | - | NPPES |
0008666880003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Guy Richard Brignola |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669474557 PECOS PAC ID: 8729083316 Enrollment ID: I20061004000177 |
Provider Name | Brad H Feldman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750554507 PECOS PAC ID: 1658442397 Enrollment ID: I20100107000097 |
Provider Name | Robert D. Behar |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174525067 PECOS PAC ID: 0042270027 Enrollment ID: I20110208000717 |
Provider Name | Mark H Blecher |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356343248 PECOS PAC ID: 1951320589 Enrollment ID: I20110221000175 |
Provider Name | Carolyn S Repke |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093716532 PECOS PAC ID: 9436299765 Enrollment ID: I20110523000837 |
Provider Name | Justin Sherman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669929501 PECOS PAC ID: 8921396516 Enrollment ID: I20161014000373 |
Provider Name | Stephen J Moster |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467867622 PECOS PAC ID: 9335494806 Enrollment ID: I20180625002326 |
Provider Name | Iga N Gray |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1033538350 PECOS PAC ID: 8527315902 Enrollment ID: I20180716003298 |
Provider Name | Michael Abendroth |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750743498 PECOS PAC ID: 5698058105 Enrollment ID: I20200602002538 |
Provider Name | Jacqueline Mandell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548586522 PECOS PAC ID: 5597086884 Enrollment ID: I20210722002033 |
Provider Name | Grace Huang |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649666561 PECOS PAC ID: 1850637653 Enrollment ID: I20230824000766 |
Mailing Address | Practice Location Address |
---|---|
Philadelphia Eye Associates Of South Jersey 1930 S Broad St Unit 9, Philadelphia, PA 19145-2328 Ph: (215) 339-8100 | Philadelphia Eye Associates Of South Jersey 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 Ph: (800) 448-6767 |