MEDICARE: EMME GILCHRIST

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	OEG004009	PA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1770279283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMME GILCHRIST

Provider Business Mailing Address
First Line	:	1018 PINE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6069
Country	:	US
Telephone Number	:	215-575-5198
Fax Number	:	215-982-1193

Provider Business Practice Location Address
First Line	:	1018 PINE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6069
Country	:	US
Telephone Number	:	215-575-5198
Fax Number	:	215-982-1193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	03/18/2026

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Directions to “ EMME GILCHRIST ” Practice Location

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