Active NPI
Castor Eye Care Center, LLC
- Optometrist
- Philadelphia, PA
National Provider Identifier
1700890449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CASTOR EYE CARE CENTER, LLC
- Practice address
- 4258 Castor Ave
Philadelphia, PA 19124-4920 - Phone
- (215) 533-4700
- Fax
- (215) 533-6377
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Orlando Torres
- Title
- President
- Phone
- (215) 533-4700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | PA | Primary | |
| Optician | 156FX1800X |
Addresses
Primary practice location
4258 Castor Ave
Philadelphia, PA 19124-4920
Mailing address
4258 Castor Ave
Philadelphia, PA 19124-4920
Phone (215) 533-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Castor Eye Care Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Philadelphia, PA
- NPI 1316112113
Locations
4258 Castor Ave
Philadelphia, PA 19124
Phone (215) 533-4700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chester, PA
- NPI 1033215124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1700890449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191244920",
"telephone_number": "215-533-4700",
"fax_number": "215-533-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4258 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191244920",
"telephone_number": "215-533-4700",
"fax_number": "215-533-6377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASTOR EYE CARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-533-4700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.