Organization Active NPI

New World Vision Center II

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1033277249
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
182925 Issued in PA
Legal business name
NEW WORLD VISION CENTER II
Practice address
813 A Adams Ave
Philadelphia, PA 19124-2477
Phone
(215) 289-0200
Fax
(215) 289-3895
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Mr. Kevin Hua Tang
Title
Manager
Phone
(215) 289-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 182925 PA Primary

Addresses

Primary practice location

813 A Adams Ave
Philadelphia, PA 19124-2477

Mailing address

813 A Adams Ave
Philadelphia, PA 19124-2477
Phone (215) 289-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081211000686 PA Part B Supplier - Clinic/Group Practice 9032270814 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

813 Adams Ave
#A
Philadelphia, PA 19124
Phone (215) 289-0200

813 Adams Ave
Ste A
Philadelphia, PA 19124
Phone (215) 289-0200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1033277249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 A ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242477",
            "telephone_number": "215-289-0200",
            "fax_number": "215-289-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 A ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242477",
            "telephone_number": "215-289-0200",
            "fax_number": "215-289-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WORLD VISION CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "HUA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-289-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "182925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.