Philadelphia Vision Center of Erie Ave Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

003502 Issued in PA

Legal business name

PHILADELPHIA VISION CENTER OF ERIE AVE INC

Practice address

1348 W Erie Ave
Philadelphia, PA 19140-4254

Phone

(215) 223-5000

Fax

(215) 223-9180

NPI assigned

Feb 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Steve L Shapiro, ABOC

Title

Owner/Optician

Phone

(215) 223-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Steven L Shapiro

  • Optician
  • Philadelphia, PA
  • NPI 1467586719
  NPD
• Paul H Roberts, OD.

  • Optometrist
  • Philadelphia, PA
  • NPI 1326109547
  NPD (past)
• Rebecca Verna, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1821290792
  NPD (past)
• Kayla Hong Hoang, O.D

  • Optometrist
  • Richardson, TX
  • NPI 1023359650
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427500800000",
    "number": "1235378688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 W ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404254",
            "telephone_number": "215-223-5000",
            "fax_number": "215-223-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 W ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404254",
            "telephone_number": "215-223-5000",
            "fax_number": "215-223-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA VISION CENTER OF ERIE AVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2015-03-28",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "215-223-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "003502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028724530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philadelphia Veterans Affairs Medical Center
• Philadelphia Veterans Affairs Medical Center
• Philadelphia Vision Associates Group Practice LLC
• Philadelphia Vision Center
• Philadelphia Vision Center of 15TH St. Inc.
• Philadelphia Vision Center on Ridge
• Philadelphia Well Being Institute
• Philadelphia Women'S Center, Inc.
• Philadelphia Women'S Center, Inc.
• Philadelphia Women'S Center, Inc.

• Eyewear Supplier in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.