South Philly Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SOUTH PHILLY OPTICAL INC.

Practice address

1815 E Passyunk Ave
Philadelphia, PA 19148-2127

Phone

(215) 575-5188

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Clifton Balter

Title

President

Phone

(215) 688-0622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1760161293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482127",
            "telephone_number": "215-575-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHILLY OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "BALTER",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-688-0622"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Philadelphia Pediatrics
• South Philadelphia PS
• South Philly Chiropractic, LLC
• South Philly East Health and Wellness (Hansjorg Wyss Wellness Center)
• South Philly Home Care
• Eugenia Catarina South, MD
• Susan A Southard, CRNP
• Southeast Pennsylvania Emergency Physicians, LLC
• Barbara Southerland, NURSE PRACTITIONER
• Tamara Southerling, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.