MEDICARE: ARAMINGO OPTICAL INC

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1982039061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARAMINGO OPTICAL INC

Provider Business Mailing Address
First Line	:	3853 ARAMINGO AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1003
Country	:	US
Telephone Number	:	215-288-3333
Fax Number	:	215-744-5072

Provider Business Practice Location Address
First Line	:	3853 ARAMINGO AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1003
Country	:	US
Telephone Number	:	215-288-3333
Fax Number	:	215-744-5072

Authorized Official
Title or Position	:	MANAGER
Name	:	WILLIAM NIGRO
Credential	:
Telephone Number	:	215-854-0441

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	09/09/2013

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