NPIMap

Organization Active NPI

Vantage Eyecare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bala Cynwyd, PA
National Provider Identifier
1023580131
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VANTAGE EYECARE, LLC
Practice address
50 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1706
Phone
(610) 667-6760
Fax
(610) 667-7206
NPI assigned
Dec 31, 2018
Last updated
Dec 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard B Prince
Title
Principal Physician
Phone
(215) 396-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

50 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1706

Mailing address

50 Monument Rd Ste 110
Bala Cynwyd, PA 19004-1706
Phone (610) 667-6760

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1023580131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MONUMENT RD STE 110",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041706",
            "telephone_number": "610-667-6760",
            "fax_number": "610-667-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MONUMENT RD STE 110",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041706",
            "telephone_number": "610-667-6760",
            "fax_number": "610-667-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRINCIPAL PHYSICIAN",
        "authorized_official_telephone_number": "215-396-4211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.