Shannon Marie Leonard, OD | |
170 S Independence Mall W Ste 210w, Philadelphia, PA 19106-3325 | |
(215) 925-6402 | |
(215) 925-0262 |
Full Name | Shannon Marie Leonard |
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Gender | Female |
Speciality | Optometrist |
Location | 170 S Independence Mall W Ste 210w, 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 |
---|---|---|---|
1871269316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG003991 (Pennsylvania) | Primary |
152W00000X | Optometrist | 270A00708200 (New Jersey) | Secondary |
Provider Name | Associated Retinal Consultants Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164578894 PECOS PAC ID: 2961509161 Enrollment ID: O20070523000337 |
Mailing Address | Practice Location Address |
---|---|
Shannon Marie Leonard, OD 170 S Independence Mall W Ste 210w, Philadelphia, PA 19106-3325 Ph: (215) 925-6402 | Shannon Marie Leonard, OD 170 S Independence Mall W Ste 210w, Philadelphia, PA 19106-3325 Ph: (215) 925-6402 |
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 |