Organization Active NPI

Barco Optical, Inc.

Doing business as Philadelphia Vision Center

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1386654044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04808P Issued in PA
Legal business name
BARCO OPTICAL, INC.
Doing business as
Philadelphia Vision Center
Practice address
2536 Welsh Rd
Philadelphia, PA 19152-1403
Phone
(215) 671-8000
Fax
(215) 671-1108
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce A Rubin
Title
President
Phone
(215) 671-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 04808P PA Primary

Addresses

Primary practice location

2536 Welsh Rd
Philadelphia, PA 19152-1403

Mailing address

2536 Welsh Rd
Philadelphia, PA 19152-1403
Phone (215) 671-8000

Other names 1

  • Philadelphia Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

2536 Welsh Rd
Philadelphia, PA 19152
Phone (215) 671-8000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386654044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521403",
            "telephone_number": "215-671-8000",
            "fax_number": "215-671-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 WELSH RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521403",
            "telephone_number": "215-671-8000",
            "fax_number": "215-671-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARCO OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-671-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "04808P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Vision Center",
            "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 Aug 22, 2020; 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.