Eye Plastic Surgery PC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

EYE PLASTIC SURGERY PC

Practice address

610 W Germantown Pike
Suite 161
Plymouth Meeting, PA 19462-1062

Phone

(610) 828-8880

Fax

(610) 828-8883

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Long

Title

Billing Manager

Phone

(610) 828-8880

Specialties & licenses 1

Addresses

Locations

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.

• Allan E Wulc, MD

  • Plastic Surgery Physician
  • Plymouth Meeting, PA
  • NPI 1518954700
  NPD

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1750659165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W GERMANTOWN PIKE",
            "address_2": "SUITE 161",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621062",
            "telephone_number": "610-828-8880",
            "fax_number": "610-828-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W GERMANTOWN PIKE",
            "address_2": "SUITE 161",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621062",
            "telephone_number": "610-828-8880",
            "fax_number": "610-828-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-828-8880"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhashida Evans
• Takela Evans
• Tamitcha Evans
• Eye Care for You Inc
• Eye Plastic Surgery LTD
• Eyevy League Optical
• Belinda Ann Eyrich, LPN
• Scholastica Ezeudu, RN
• David Fabel
• Christine Facenda, LPN

• Otolaryngology/Facial Plastic Surgery Physician in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.