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General NPI Number Information
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NPI Number | 1598673675
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA VISION CENTER ON RIDGE
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1508 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2389
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Country | US
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Telephone | 215-223-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 30 S 15TH ST STE 1550 PMB 146851
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City | PHILADELPHIA
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State | PA
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Zip | 19102-4806
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Country | US
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Telephone | 215-223-5000
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Fax | 215-223-9180
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Authorized Official
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Title or Position | OPTICIAN/MANAGER/OWNER
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Name | MR. AARON SHAPIRO
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Credential |
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Telephone | 267-261-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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