Active NPI
Omni Vision Corp.
- Optician
- Philadelphia, PA
National Provider Identifier
1740513993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- OMNI VISION CORP.
- Practice address
- 1103 Chestnut St
Philadelphia, PA 19107-3619 - Phone
- (215) 977-7700
- Fax
- (215) 977-7105
- NPI assigned
- Sep 4, 2009
- 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
- Ms. Nani R Chong
- Title
- Office Manager
- Phone
- (215) 977-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
1103 Chestnut St
Philadelphia, PA 19107-3619
Mailing address
1103 Chestnut St
Philadelphia, PA 19107-3619
Phone (215) 977-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01611100 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1103 Chestnut St
Philadelphia, PA 19107
Phone (215) 977-7700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bristol, PA
- NPI 1376540898
-
- Optometrist
- Philadelphia, PA
- NPI 1881859908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1740513993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073619",
"telephone_number": "215-977-7700",
"fax_number": "215-977-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 CHESTNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073619",
"telephone_number": "215-977-7700",
"fax_number": "215-977-7105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI VISION CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "CHONG",
"authorized_official_first_name": "NANI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-977-7700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01611100",
"state": "PA"
}
],
"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 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.