Philadelphia Vision Associates Group Practice LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PHILADELPHIA VISION ASSOCIATES GROUP PRACTICE LLC

Practice address

1516 Locust St
Philadelphia, PA 19102

Phone

(215) 546-0493

Fax

(610) 337-2133

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Kim Miller

Title

Billing Manager

Phone

(610) 491-2127

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Del Val ASC LLC

  • Ambulatory Surgical Clinic/Center
  • King of Prussia, PA
  • NPI 1215028469

  Member Of

  NPD member

Locations

Practitioners 2

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

• Peter James Calla, O.D.

  • Optometrist
  • Youngstown, OH
  • NPI 1093730459
  NPD (past)
• Jeffrey S. Forman, M.D.

  • Ophthalmology Physician
  • Voorhees, NJ
  • NPI 1427056050
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1578664959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024401",
            "telephone_number": "215-546-0493",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-546-0493",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA VISION ASSOCIATES GROUP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-491-2127"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philadelphia Vamc
• Philadelphia Vamc
• Philadelphia Vamc
• Philadelphia Veterans Affairs Medical Center
• Philadelphia Veterans Affairs Medical Center
• Philadelphia Vision Center
• Philadelphia Vision Center of 15TH St. Inc.
• Philadelphia Vision Center of Erie Ave Inc
• Philadelphia Vision Center on Ridge
• Philadelphia Well Being Institute

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.