Organization Active NPI

Omega Optical at Comcast Center

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1093095457
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008924 Issued in PA
Legal business name
OMEGA OPTICAL AT COMCAST CENTER
Practice address
1701 JFK Blvd
Philadelphia, PA 19103-2838
Phone
(215) 564-1288
Fax
(215) 885-8807
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Dr. Chelise Firmin, OD
Title
Optometrist
Phone
(215) 564-1288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OET008924 PA Primary

Addresses

Primary practice location

1701 JFK Blvd
Philadelphia, PA 19103-2838

Mailing address

1701 JFK Blvd
Philadelphia, PA 19103-2838
Phone (215) 564-1288

National Provider Directory

National Provider Directory
Tax ID family
Omega Optical at Comcast Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1093095457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 JFK BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032838",
            "telephone_number": "215-564-1288",
            "fax_number": "215-885-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 JFK BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032838",
            "telephone_number": "215-564-1288",
            "fax_number": "215-885-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA OPTICAL AT COMCAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "FIRMIN",
        "authorized_official_first_name": "CHELISE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-564-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008924",
            "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 Aug 17, 2011; 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.