| Family Vision Enterprises | |
|
6201 N Front St Ste 119 Philadelphia PA 19120-1541 | |
| (215) 927-2250 | |
| (215) 927-2293 |
| Full Name | Family Vision Enterprises |
|---|---|
| Speciality | Clinic/Center |
| Location | 6201 N Front St Ste 119, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Juan E. Rodriguez (OPTOMETRIST) |
| Authorized Official Contact | 2159272250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Vision Enterprises 6201 N Front St Ste 119 Philadelphia PA 19120-1541 Ph: (215) 927-2250 | Family Vision Enterprises 6201 N Front St Ste 119 Philadelphia PA 19120-1541 Ph: (215) 927-2250 |
| NPI Number | 1235697061 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 5597715045 |
|---|---|
| Medicare Enrollment ID | O20050124000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235697061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Juan E Rodriguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720128408 PECOS PAC ID: 0840240396 Enrollment ID: I20050124000364 |
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