Philadelphia Vision Center of Exton

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PHILADELPHIA VISION CENTER OF EXTON

Practice address

442 W Lincoln Hwy
Festival Shopping Center
Exton, PA 19341

Phone

(610) 363-8060

Fax

(610) 594-8448

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Rubin, PRESIDENT OF COMPANY

Title

President of Company

Phone

(610) 363-8060

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Theodora Betsy Cozan, OD

  • Optometrist
  • Exton, PA
  • NPI 1316169766
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700099330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W LINCOLN HWY",
            "address_2": "FESTIVAL SHOPPING CENTER",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-363-8060",
            "fax_number": "610-594-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W LINCOLN HWY",
            "address_2": "FESTIVAL SHOPPING CENTER",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "19341",
            "telephone_number": "610-363-8060",
            "fax_number": "610-594-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA VISION CENTER OF EXTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "610-363-8060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT OF COMPANY"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "PH535897",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49820",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi A Petrillo Botte
• Keith Daniel Petrosky, PHD
• Christine Pettit
• Rebecca Pfeiffer
• Emily Pfender
• Kristi Phillips-Moore
• Sophie Sadie Phillips
• Physis Associates
• Michael A. Picariello, M.D.
• Pickering Family Practice

• Eyewear Supplier in Exton, PA
• Providers in Exton, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.