Vantage Eyecare, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VANTAGE EYECARE, LLC

Practice address

775 Route 70 E Ste F180
Marlton, NJ 08053-2367

Phone

(856) 596-1601

Fax

(856) 983-0396

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Julia Lee

Title

Ceo

Phone

(610) 812-4539

Specialties & licenses 1

Addresses

Tax ID family

Vantage Eyecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Vantage Eyecare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1578106373
  NPD tax ID
• Vantage Eyecare, LLC

  • Optometrist
  • Bala Cynwyd, PA
  • NPI 1851809362
  NPD tax ID

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1598239196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SECOND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663811",
            "telephone_number": "856-596-1601",
            "fax_number": "856-983-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ROUTE 70 E STE F180",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532367",
            "telephone_number": "856-596-1601",
            "fax_number": "856-983-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-812-4539"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M. Urday, PA-C
• Usrc Marlton, LLC
• Neha Vagadia, DO
• Deborah Van Horn, PH.D.
• Peter G Vandeerlin, M.D.
• Andrea Lee Vanvreede, MSSW, LSW
• Vincent Varghese, D.O.
• Andrea Varone, PT
• James R. Varrell, M.D.
• Frank A. Vassallo, D.O.

• Ophthalmology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.