NPIMap

Organization Active NPI

Tus Ojos Inc

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1831291814
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TUS OJOS INC
Practice address
100 E Lehigh Avenue
Ste 201 Medical Arts Building
Philadelphia, PA 19125
Phone
(215) 707-0450
Fax
(215) 707-0451
NPI assigned
Sep 1, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Mr. Wilfredo Manzano, CO
Title
Owner Optician
Phone
(215) 707-0450

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

100 E Lehigh Avenue
Ste 201 Medical Arts Building
Philadelphia, PA 19125

Mailing address

PO Box 60980
Philadelphia, PA 19133
Phone (215) 707-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040809000124 PA Part B Supplier - Clinic/Group Practice 2365414679 Receives reassigned benefits from 10 practitioners
Practice locations: Philadelphia, PA
O20091222000295 NJ Part B Supplier - Clinic/Group Practice 2365414679 Receives reassigned benefits from 10 practitioners
Practice locations: Cherry Hill, NJ; Camden, NJ
O20100930087510 PA DME Supplier - OpticianDME Supplier - Physician - Optometrist 2365414679 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory
Tax ID family
Tus Ojos Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Atlantic Ave
Ste 201
Camden, NJ 08104

122 Haddontowne Ct
Cherry Hill, NJ 08034
Phone (856) 375-2454

100 E Lehigh Ave
#201
Philadelphia, PA 19125

100 E Lehigh Ave
Ste 201MAB
Philadelphia, PA 19125

100 E Lehigh Ave
Ste 301
Philadelphia, PA 19125

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1831291814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60980",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19133",
            "telephone_number": "215-707-0450",
            "fax_number": "215-707-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVENUE",
            "address_2": "STE 201 MEDICAL ARTS BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "215-707-0450",
            "fax_number": "215-707-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUS OJOS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "OWNER OPTICIAN",
        "authorized_official_telephone_number": "215-707-0450",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "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 Sep 30, 2019; 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.

Verify at the official NPI Registry.