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NPI Code Detail

MEDICARE: PHILADELPHIA EYE ASSOCIATES

MEDICARE: PHILADELPHIA EYE ASSOCIATES
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1982294013
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHILADELPHIA EYE ASSOCIATES
Provider Business Mailing Address
First Line : 1930 S BROAD ST UNIT 9
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-2328
Country : US
Telephone Number : 800-448-6767
Fax Number : 215-339-8103
Provider Business Practice Location Address
First Line : 2610 E ALLEGHENY AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134-5104
Country : US
Telephone Number : 800-448-6767
Fax Number : 215-339-8103
Authorized Official
Title or Position : PHYSICIAN OWNER
Name : ROBERT D BEHAR
Credential :
Telephone Number : 215-339-8100
Provider Enumeration Date : 01/22/2021
Last Update Date : 01/22/2021

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1649666561 — GRACE HUANG MD
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1396258604 — VANTAGE EYECARE, LLC
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1992708713 — MS. ADINA S. GUTSTEIN MSN, CRNP
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Directions to “PHILADELPHIA EYE ASSOCIATES ” Practice Location

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