Organization Active NPI

Innervision Optical LLC.

Doing business as InnerVision Fine Eyewear

  • Optician
  • Philadelphia, PA
National Provider Identifier
1336393198
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
INNERVISION OPTICAL LLC.
Doing business as
InnerVision Fine Eyewear
Practice address
1700 Sansom St
Philadelphia, PA 19103-5234
Phone
(215) 832-0350
Fax
(215) 832-0357
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Mr. Clifton Balter
Title
Owner/Optician/Manager
Phone
(215) 832-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

1700 Sansom St
Philadelphia, PA 19103-5234

Mailing address

1700 Sansom St
Philadelphia, PA 19103-5234
Phone (215) 832-0350

Other names 1

  • InnerVision Fine Eyewear Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1336393198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035234",
            "telephone_number": "215-832-0350",
            "fax_number": "215-832-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SANSOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035234",
            "telephone_number": "215-832-0350",
            "fax_number": "215-832-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVISION OPTICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "BALTER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER/OPTICIAN/MANAGER",
        "authorized_official_telephone_number": "215-832-0350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerVision Fine Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 2008; 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.