NPIMap

Organization Active NPI

Plastic Lenses Inc.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1487826343
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PLASTIC LENSES INC.
Practice address
1017 Chestnut St.
Philadelphia, PA 19107-4213
Phone
(215) 922-0212
Fax
(215) 922-6683
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Joseph Steven Mestrow
Title
Owner
Phone
(215) 922-0212

Specialties & licenses 1

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

Addresses

Primary practice location

1017 Chestnut St.
Philadelphia, PA 19107-4213

Mailing address

1017 Chestnut St.
Philadelphia, PA 19107-4213
Phone (215) 922-0212

Other names 1

  • TRU-SITE OPTICAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Plastic Lenses Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1017 Chestnut St
Philadelphia, PA 19107
Phone (215) 922-0212

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1487826343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CHESTNUT ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074213",
            "telephone_number": "215-922-0212",
            "fax_number": "215-922-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 CHESTNUT ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074213",
            "telephone_number": "215-922-0212",
            "fax_number": "215-922-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC LENSES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MESTROW",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-922-0212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRU-SITE OPTICAL",
            "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 Mar 31, 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.