Organization Active NPI

Eye Wise

  • Optician
  • Philadelphia, PA
National Provider Identifier
1609028646
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
384661 Issued in PA
Legal business name
EYE WISE
Practice address
1706 Franklin Mills Cir
Philadelphia, PA 19154-3134
Phone
(215) 612-0340
Fax
(215) 612-0348
NPI assigned
Oct 22, 2008
Last updated
Oct 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Mr. Hashaam Shahid, OPTICIANNPI 1639329675
Title
President
Phone
(215) 612-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 384661 PA Primary

Addresses

Primary practice location

1706 Franklin Mills Cir
Philadelphia, PA 19154-3134

Mailing address

1706 Franklin Mills Cir
Philadelphia, PA 19154-3134
Phone (215) 612-0340

National Provider Directory

National Provider Directory
Tax ID family
Eye Wise2 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

1706 Franklin Mills Cir
Philadelphia, PA 19154
Phone (215) 612-0340

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1609028646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 FRANKLIN MILLS CIR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543134",
            "telephone_number": "215-612-0340",
            "fax_number": "215-612-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 FRANKLIN MILLS CIR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543134",
            "telephone_number": "215-612-0340",
            "fax_number": "215-612-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE WISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "HASHAAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-612-0340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": "384661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 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.