MEDICARE: RITTENHOUSE EYE ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1275699597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITTENHOUSE EYE ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	2000 HAMILTON ST
Second Line	:	RODIN PLACE SUITE 306
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-3814
Country	:	US
Telephone Number	:	215-545-5001
Fax Number	:	215-545-5763

Provider Business Practice Location Address
First Line	:	2000 HAMILTON ST
Second Line	:	RODIN PLACE SUITE 306
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-3814
Country	:	US
Telephone Number	:	215-545-5001
Fax Number	:	215-545-5763

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	DR. WALTER HARRIS JR.
Credential	:	M.D.
Telephone Number	:	215-545-5001

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	10/08/2013

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