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NPI Code Detail

MEDICARE: JAMES R. FILIPPO O.D.

MEDICARE: JAMES R. FILIPPO O.D.
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
1152W00000XOptometristGOO1388PA
2152WP0200XPediatric OptometristGOO1388PA
3152WV0400XVision Therapy OptometristGOO1388PA

General Provider Information

NPI Number : 1427098375
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES R. FILIPPO O.D.
Provider Business Mailing Address
First Line : 2614 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3415
Country : US
Telephone Number : 215-335-9090
Fax Number : 215-333-5225
Provider Business Practice Location Address
First Line : 2614 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3415
Country : US
Telephone Number : 215-335-9090
Fax Number : 215-333-5225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/14/2012

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