Organization Active NPI

Vantage Eyecare, LLC

  • Ophthalmology Physician
  • Southampton, PA
National Provider Identifier
1689184384
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VANTAGE EYECARE, LLC
Practice address
319 2ND Street Pike Ste B
Southampton, PA 18966-3811
Phone
(215) 355-4428
Fax
(215) 355-0790
NPI assigned
Oct 7, 2017
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Richard B Prince, MDNPI 1164431599
Title
Principal Physician
Phone
(215) 355-4428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

319 2ND Street Pike Ste B
Southampton, PA 18966-3811

Mailing address

319 2ND Street Pike Ste B
Southampton, PA 18966-3811
Phone (215) 355-4428

Other practice location 1

509 S Lenola Rd Ste 11A
Moorestown, NJ 08057-1561
Phone (856) 234-0258

Other practice location 2

100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Phone (484) 434-2700

Other practice location 3

840 Walnut St Ste 920
Philadelphia, PA 19107-5109
Phone (267) 546-1100

National Provider Directory

National Provider Directory

Locations

1417 Cantillon Blvd
Mays Landing, NJ 08330
Phone (609) 625-0402

720 Main St
Phoenixville, PA 19460
Phone (610) 933-3498

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": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1689184384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 2ND STREET PIKE STE B",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663811",
            "telephone_number": "215-355-4428",
            "fax_number": "215-355-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 2ND STREET PIKE STE B",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663811",
            "telephone_number": "215-355-4428",
            "fax_number": "215-355-0790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 S Lenola Rd Ste 11A",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080571561",
            "country_code": "US",
            "telephone_number": "856-234-0258",
            "fax_number": "856-727-9518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Presidential Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041108",
            "country_code": "US",
            "telephone_number": "484-434-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Walnut St Ste 920",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "267-546-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANTAGE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRINCIPAL PHYSICIAN",
        "authorized_official_telephone_number": "215-355-4428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

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