Vantage Eyecare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VANTAGE EYECARE, LLC

Practice address

1703 S Broad St
Philadelphia, PA 19148-1536

Phone

(800) 448-6767

Fax

(215) 339-8103

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By 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

Richard B Prince

Title

Principal Physician

Phone

(215) 396-4211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1871006171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481536",
            "telephone_number": "800-448-6767",
            "fax_number": "215-339-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481536",
            "telephone_number": "800-448-6767",
            "fax_number": "215-339-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRINCIPAL PHYSICIAN",
        "authorized_official_telephone_number": "215-396-4211"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Vansant, D.O.
• Vincent J Vanston, M.D.
• Vantage Eyecare, LLC
• Vantage Eyecare, LLC
• Vantage Eyecare, LLC
• Vantage Eyecare, LLC
• Bevis Vanterpool, PHARMD
• Kisha Vanterpool, MD
• Grace Vanthuyne, PA-C
• Skyla Imani Vantrikt, BS, CLD, CPD

• Durable Medical Equipment & Medical Supplies in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.