| The Eye Institute | |
|
1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | |
| (215) 276-6000 | |
| (215) 276-1329 |
| Full Name | The Eye Institute |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1200 W Godfrey Ave, 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 |
|---|---|---|---|
| 1336160027 | NPI | - | NPPES |
| 026958 | Other | PA | PA BLUE SHIELD OPTOMETRIC |
| 2248 | Other | PA | AETNA US HEALTHCARE |
| 0053189000 | Other | PA | KEYSTONE EAST OPHTHALMOLO |
| 0062163000 | Other | PA | KEYSTONE EAST OPTOMETRIC |
| 1002136 | Other | PA | MERCY HEALTH PLAN PA |
| 01628 | Other | PA | HEALTH PARTNERS PA |
| 0005591590030 | Medicaid | PA | |
| 132200 | Other | PA | PA BLUE SHIELD OPHTHALMOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| Provider Name | Gwenn Amos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598850349 PECOS PAC ID: 0941102677 Enrollment ID: I20040123000185 |
| Provider Name | Kelly Malloy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598773384 PECOS PAC ID: 3476446766 Enrollment ID: I20040202000980 |
| Provider Name | James S Lewis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225092315 PECOS PAC ID: 8224018809 Enrollment ID: I20040723000424 |
| Provider Name | Stephanie Ruth Holt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366450157 PECOS PAC ID: 8325011372 Enrollment ID: I20040817001137 |
| Provider Name | Melissa A Vitek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013929710 PECOS PAC ID: 9638143274 Enrollment ID: I20040820000503 |
| Provider Name | De Gaulle Igbodiegwu Chigbu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730197518 PECOS PAC ID: 6507831021 Enrollment ID: I20040830000031 |
| Provider Name | Edward A Deglin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164428744 PECOS PAC ID: 8921010356 Enrollment ID: I20060629000069 |
| Provider Name | Joshua Matthew Greene |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619978756 PECOS PAC ID: 1456387513 Enrollment ID: I20060629000334 |
| Provider Name | Ruth Yetunde Shoge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508876137 PECOS PAC ID: 5395745343 Enrollment ID: I20061222000138 |
| Provider Name | Andrew S Gurwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326056128 PECOS PAC ID: 4082714662 Enrollment ID: I20070711000763 |
| Provider Name | John Mark Snyder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003016304 PECOS PAC ID: 8729170337 Enrollment ID: I20070827000545 |
| Provider Name | Lisa M Himmelein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912106253 PECOS PAC ID: 1951493543 Enrollment ID: I20070828000284 |
| Provider Name | Erica L Feigenbutz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760681738 PECOS PAC ID: 5698868958 Enrollment ID: I20070904000188 |
| Provider Name | Jenny Myung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356504971 PECOS PAC ID: 8729152491 Enrollment ID: I20080730000390 |
| Provider Name | Melissa Trego |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154501005 PECOS PAC ID: 7012081441 Enrollment ID: I20080804000367 |
| Provider Name | Dawn M. Ciccarone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033383658 PECOS PAC ID: 9739256124 Enrollment ID: I20080926000516 |
| Provider Name | G Richard Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508880329 PECOS PAC ID: 7416017587 Enrollment ID: I20081119000268 |
| Provider Name | Richard L Brilliant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366500183 PECOS PAC ID: 5092863837 Enrollment ID: I20090504000603 |
| Provider Name | Joseph P Ruskiewicz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396735668 PECOS PAC ID: 2163570953 Enrollment ID: I20090505000411 |
| Provider Name | Elizabeth Tonkery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710117429 PECOS PAC ID: 0941354294 Enrollment ID: I20090820000524 |
| Provider Name | Michelle Britchkow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508096215 PECOS PAC ID: 0648324905 Enrollment ID: I20090820000558 |
| Provider Name | Lynn H Trieu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306076013 PECOS PAC ID: 0345394508 Enrollment ID: I20090821000638 |
| Provider Name | Rachel Brackley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881824597 PECOS PAC ID: 5698820579 Enrollment ID: I20090827000815 |
| Provider Name | Erin Draper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598995201 PECOS PAC ID: 6608921085 Enrollment ID: I20090909000138 |
| Provider Name | Brandy Scombordi-raghu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336159268 PECOS PAC ID: 4385785302 Enrollment ID: I20100112000652 |
| Provider Name | Maria Ruduski Downey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679543664 PECOS PAC ID: 8325173982 Enrollment ID: I20100322000219 |
| Provider Name | Helene Kaiser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972511624 PECOS PAC ID: 3577699040 Enrollment ID: I20100414000095 |
| Provider Name | Michael Spinell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659389492 PECOS PAC ID: 3375679848 Enrollment ID: I20100414000119 |
| Provider Name | Lynn Greenspan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851492565 PECOS PAC ID: 1153458195 Enrollment ID: I20100422000358 |
| Provider Name | Jamie Ellsworth Neiman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477565224 PECOS PAC ID: 8628105483 Enrollment ID: I20100427000603 |
| Provider Name | Jeffrey Nyman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962419036 PECOS PAC ID: 9032247903 Enrollment ID: I20100513000614 |
| Provider Name | Jean Pagani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013008226 PECOS PAC ID: 1355471939 Enrollment ID: I20100608000396 |
| Provider Name | Mark B Boas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437269487 PECOS PAC ID: 8820128887 Enrollment ID: I20100617000658 |
| Provider Name | Carlo Pelino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003917378 PECOS PAC ID: 6709918733 Enrollment ID: I20100709000532 |
| Provider Name | Maria Armandi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699885657 PECOS PAC ID: 0648302877 Enrollment ID: I20100722000903 |
| Provider Name | Sarah Appel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760499834 PECOS PAC ID: 9032302930 Enrollment ID: I20101025000139 |
| Provider Name | Mark E Street |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770897852 PECOS PAC ID: 1355537200 Enrollment ID: I20101118000418 |
| Provider Name | Alissa M Coyne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851606644 PECOS PAC ID: 1658569082 Enrollment ID: I20101229000195 |
| Provider Name | Joel Andrew Silbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083686935 PECOS PAC ID: 8628102399 Enrollment ID: I20110405000940 |
| Provider Name | Maryjo Ann A Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942431663 PECOS PAC ID: 8729263181 Enrollment ID: I20110428000223 |
| Provider Name | Victoria Leigh Dzurinko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679673958 PECOS PAC ID: 3870516230 Enrollment ID: I20110621000295 |
| Provider Name | Heather R Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881982882 PECOS PAC ID: 7810166154 Enrollment ID: I20110803000330 |
| Provider Name | Luis C Trujillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619109758 PECOS PAC ID: 0547439895 Enrollment ID: I20110803000446 |
| Provider Name | Julie Lynn Marsh Snyder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922387265 PECOS PAC ID: 3274703426 Enrollment ID: I20110826000411 |
| Provider Name | Hugo M Linares |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013143726 PECOS PAC ID: 6406907344 Enrollment ID: I20110901000117 |
| Provider Name | Holly Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699784074 PECOS PAC ID: 4082875471 Enrollment ID: I20120411000594 |
| Provider Name | Elisa Bano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679693741 PECOS PAC ID: 6305092784 Enrollment ID: I20120820000363 |
| Provider Name | Doan Trang Kwak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093060444 PECOS PAC ID: 6002062494 Enrollment ID: I20120820000530 |
| Provider Name | Amanda Lehman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528205390 PECOS PAC ID: 4981850187 Enrollment ID: I20121210000387 |
| Provider Name | Byung Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790072015 PECOS PAC ID: 3678712403 Enrollment ID: I20130626000785 |
| Provider Name | Jessica Ackert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437301629 PECOS PAC ID: 3476722596 Enrollment ID: I20130717000328 |
| Provider Name | Lindsey E Perno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740620855 PECOS PAC ID: 7012159569 Enrollment ID: I20130813000036 |
| Provider Name | Bhawanjot K Minhas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174963292 PECOS PAC ID: 8921240383 Enrollment ID: I20130814000384 |
| Provider Name | Jared A Burd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942616065 PECOS PAC ID: 4385861384 Enrollment ID: I20140815000483 |
| Provider Name | Laine Higa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407262520 PECOS PAC ID: 3274751854 Enrollment ID: I20140822001157 |
| Provider Name | Bisant Labib |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558777664 PECOS PAC ID: 6800014481 Enrollment ID: I20140822001205 |
| Provider Name | Shivakhaami Meiyeppen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578972410 PECOS PAC ID: 4082833611 Enrollment ID: I20140915000867 |
| Provider Name | Elizabeth A Dale |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811218332 PECOS PAC ID: 4385861145 Enrollment ID: I20150616002000 |
| Provider Name | Jennifer Kwok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144639212 PECOS PAC ID: 1951628908 Enrollment ID: I20150810002251 |
| Provider Name | Amanda Mammano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053795922 PECOS PAC ID: 9638484363 Enrollment ID: I20150810002816 |
| Provider Name | Ashley Maglione |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346624228 PECOS PAC ID: 4587979166 Enrollment ID: I20150811004655 |
| Provider Name | Erin Kenny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760866479 PECOS PAC ID: 1052626207 Enrollment ID: I20150817001852 |
| Provider Name | Maelynn Niehaus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982088233 PECOS PAC ID: 3375858533 Enrollment ID: I20150817002090 |
| Provider Name | Erin C Jenewein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154654754 PECOS PAC ID: 1355485178 Enrollment ID: I20150819009004 |
| Provider Name | Andrew Meagher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073982401 PECOS PAC ID: 8022327683 Enrollment ID: I20151021002080 |
| Provider Name | Anton Kolomeyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245573864 PECOS PAC ID: 2365733441 Enrollment ID: I20160621000463 |
| Provider Name | Sarah Nowicki-duczeminski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861844466 PECOS PAC ID: 2062706989 Enrollment ID: I20160815002695 |
| Provider Name | Carrie K Hvezda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740630730 PECOS PAC ID: 3375838733 Enrollment ID: I20160824000737 |
| Provider Name | Stephanie Leburg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730531336 PECOS PAC ID: 1153617741 Enrollment ID: I20160908000168 |
| Provider Name | Justin Sherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669929501 PECOS PAC ID: 8921396516 Enrollment ID: I20161014000373 |
| Provider Name | Nicholas J Gidosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881081461 PECOS PAC ID: 2163737438 Enrollment ID: I20170123000216 |
| Provider Name | Elise B Ciner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548325863 PECOS PAC ID: 5496031684 Enrollment ID: I20170425001307 |
| Provider Name | Robert M Carroll |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932549771 PECOS PAC ID: 8527336452 Enrollment ID: I20170619001816 |
| Provider Name | Natalia Kobrenko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245768043 PECOS PAC ID: 4688946437 Enrollment ID: I20170815000536 |
| Provider Name | Patrick Mcmanamon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780114603 PECOS PAC ID: 3577835339 Enrollment ID: I20170815001109 |
| Provider Name | Hei In Tang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689197683 PECOS PAC ID: 6103198676 Enrollment ID: I20170817002401 |
| Provider Name | Nicholas Karbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588191985 PECOS PAC ID: 1153693304 Enrollment ID: I20170823000045 |
| Provider Name | Tyler Crouse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881117570 PECOS PAC ID: 8921370172 Enrollment ID: I20170823000272 |
| Provider Name | Christin Noel Demoss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902336043 PECOS PAC ID: 7416229455 Enrollment ID: I20170825000336 |
| Provider Name | Alexandra L Oszustowicz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336662295 PECOS PAC ID: 4183996077 Enrollment ID: I20170828003513 |
| Provider Name | Bruce G Muchnick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699784694 PECOS PAC ID: 7911275904 Enrollment ID: I20171019002222 |
| Provider Name | Navpreet Hehar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801247291 PECOS PAC ID: 7517233174 Enrollment ID: I20171026000156 |
| Provider Name | Erin Sherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154772614 PECOS PAC ID: 9739467416 Enrollment ID: I20171227002202 |
| Provider Name | Stanley W Hatch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720077902 PECOS PAC ID: 1658496260 Enrollment ID: I20180409000704 |
| Provider Name | Saurin Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689965097 PECOS PAC ID: 6305016627 Enrollment ID: I20180521000821 |
| Provider Name | Alice Hyun Jin Lim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164918033 PECOS PAC ID: 6002163482 Enrollment ID: I20180717000016 |
| Provider Name | Kelly Seidler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881180644 PECOS PAC ID: 9931456217 Enrollment ID: I20180718000109 |
| Provider Name | Hang T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518443654 PECOS PAC ID: 7113275785 Enrollment ID: I20180731000060 |
| Provider Name | Katharine Funari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114403649 PECOS PAC ID: 5092063503 Enrollment ID: I20180731001874 |
| Provider Name | Sean Gretz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720565641 PECOS PAC ID: 0143578260 Enrollment ID: I20180807001151 |
| Provider Name | Ryan E Kern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497232425 PECOS PAC ID: 7214285253 Enrollment ID: I20180807002742 |
| Provider Name | Sathyadeepak Ramesh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053687004 PECOS PAC ID: 8224287511 Enrollment ID: I20180910001022 |
| Provider Name | Brian Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770063687 PECOS PAC ID: 0547511909 Enrollment ID: I20180924002280 |
| Provider Name | Alan G Kabat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740354588 PECOS PAC ID: 4183673817 Enrollment ID: I20181015000111 |
| Provider Name | David M Meltzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710912167 PECOS PAC ID: 4981891082 Enrollment ID: I20190122000466 |
| Provider Name | Maria J Adriaansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508428194 PECOS PAC ID: 0840526869 Enrollment ID: I20190730001050 |
| Provider Name | Samantha Lin Jennings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730741273 PECOS PAC ID: 1355677162 Enrollment ID: I20190731000893 |
| Provider Name | Lucinda Ann Kauffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184286973 PECOS PAC ID: 2860728607 Enrollment ID: I20190731002436 |
| Provider Name | Megan A Rother |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871155663 PECOS PAC ID: 6406183128 Enrollment ID: I20190802002626 |
| Provider Name | Chad Killen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033771878 PECOS PAC ID: 8426385089 Enrollment ID: I20190806001646 |
| Provider Name | Kenneth M Daniels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841357977 PECOS PAC ID: 6608804133 Enrollment ID: I20190812000152 |
| Provider Name | Isha Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598318412 PECOS PAC ID: 4284961178 Enrollment ID: I20190815001563 |
| Provider Name | Jacqueline Pan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679127872 PECOS PAC ID: 0446588008 Enrollment ID: I20190821002177 |
| Provider Name | Mark Miriello |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740662691 PECOS PAC ID: 7214217447 Enrollment ID: I20191210001727 |
| Provider Name | Korey Ann Patrizi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881212629 PECOS PAC ID: 3476979246 Enrollment ID: I20200812000031 |
| Provider Name | Julia G Runco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710505490 PECOS PAC ID: 5991121774 Enrollment ID: I20200812000419 |
| Provider Name | Fiza Tariq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487264438 PECOS PAC ID: 5092131706 Enrollment ID: I20200812001345 |
| Provider Name | Elizabeth Marie Marunde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013535848 PECOS PAC ID: 9032535372 Enrollment ID: I20200817002712 |
| Provider Name | Gabriel Mark Fickett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457707192 PECOS PAC ID: 2668760786 Enrollment ID: I20201016000344 |
| Provider Name | Maria L Parisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104836071 PECOS PAC ID: 6002227329 Enrollment ID: I20201117003126 |
| Provider Name | Kevin J Feng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164090809 PECOS PAC ID: 2961805627 Enrollment ID: I20210720000145 |
| Provider Name | Liana Marie Ferreira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235701160 PECOS PAC ID: 6002219409 Enrollment ID: I20210722002282 |
| Provider Name | Anthony Thomas Boyd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558932848 PECOS PAC ID: 9335542786 Enrollment ID: I20210723000161 |
| Provider Name | Rochelle Fleisher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194499335 PECOS PAC ID: 0749684942 Enrollment ID: I20210810003722 |
| Provider Name | Crystal Jade Liu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215601596 PECOS PAC ID: 2264836477 Enrollment ID: I20210811000023 |
| Provider Name | Chandni Harshad Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821762048 PECOS PAC ID: 5890199004 Enrollment ID: I20210811000101 |
| Provider Name | Natalee Camile Rackus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508530890 PECOS PAC ID: 2365846409 Enrollment ID: I20210811001319 |
| Provider Name | Kiera Brinn Jeschke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316611619 PECOS PAC ID: 4789089509 Enrollment ID: I20210817002839 |
| Provider Name | Bailey Sheridan Ford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730854589 PECOS PAC ID: 0941605554 Enrollment ID: I20210819002868 |
| Provider Name | Alethia Imani Love Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043986615 PECOS PAC ID: 1658777115 Enrollment ID: I20210908002756 |
| Provider Name | Nikhil Deep Bansal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215538061 PECOS PAC ID: 9234537242 Enrollment ID: I20211006000030 |
| Provider Name | Samuel Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174257703 PECOS PAC ID: 0345621140 Enrollment ID: I20220725001448 |
| Provider Name | Ryan Keenan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568196822 PECOS PAC ID: 4789065517 Enrollment ID: I20220725002841 |
| Provider Name | Nicholas Puzzella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851025761 PECOS PAC ID: 1153703418 Enrollment ID: I20220803000112 |
| Provider Name | Jeffrey Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467186361 PECOS PAC ID: 1759764517 Enrollment ID: I20220811003406 |
| Provider Name | Andrew H Kageyama |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437882636 PECOS PAC ID: 9032592688 Enrollment ID: I20220816000417 |
| Provider Name | Allison Raff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447985130 PECOS PAC ID: 0840673497 Enrollment ID: I20220816000468 |
| Provider Name | Denise L Diaz Aguayo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700512670 PECOS PAC ID: 4082098991 Enrollment ID: I20220826000078 |
| Provider Name | Alisha Musau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629702634 PECOS PAC ID: 9032593983 Enrollment ID: I20220826001631 |
| Provider Name | Pratik Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629701891 PECOS PAC ID: 2163806035 Enrollment ID: I20220826002429 |
| Provider Name | Taral Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790419364 PECOS PAC ID: 3779967062 Enrollment ID: I20220906002079 |
| Provider Name | Brian Helmetag |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891439261 PECOS PAC ID: 0244615680 Enrollment ID: I20220921000345 |
| Provider Name | Lauren White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306403860 PECOS PAC ID: 6800219049 Enrollment ID: I20230222001220 |
| Provider Name | Nia Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003595422 PECOS PAC ID: 5597125005 Enrollment ID: I20230716000052 |
| Provider Name | Erica Frost |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780362772 PECOS PAC ID: 8022478940 Enrollment ID: I20230724001856 |
| Provider Name | Brandon Garces |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295413979 PECOS PAC ID: 3476914391 Enrollment ID: I20230725002061 |
| Provider Name | Rachel Shackelford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841978418 PECOS PAC ID: 1557722790 Enrollment ID: I20230803001945 |
| Provider Name | Heidi Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780364257 PECOS PAC ID: 0941661102 Enrollment ID: I20230803003049 |
| Provider Name | Victoria Duque-ferreira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902584329 PECOS PAC ID: 1759742935 Enrollment ID: I20230803003654 |
| Provider Name | Karan M Johal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548948003 PECOS PAC ID: 0648631796 Enrollment ID: I20230804002445 |
| Provider Name | Ellen Ren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912685256 PECOS PAC ID: 2062874233 Enrollment ID: I20230821001122 |
| Provider Name | Dariela Cardo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497433742 PECOS PAC ID: 3870955040 Enrollment ID: I20230821001180 |
| Provider Name | Behrad Garmsiri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508548694 PECOS PAC ID: 9638531726 Enrollment ID: I20230822002442 |
| Mailing Address | Practice Location Address |
|---|---|
| The Eye Institute 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6000 | The Eye Institute 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6000 |
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 |