Organization Active NPI

Dr. Victor Jay Barouh

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1912021999
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE4645T Issued in PA
Legal business name
DR. VICTOR JAY BAROUH
Practice address
8500 Henry Ave
Andorra Shopping Center
Philadelphia, PA 19128-2111
Phone
(215) 487-2345
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Victor Jay Barouh, O.D.
Title
Owner
Phone
(215) 487-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OE4645T PA Primary

Addresses

Primary practice location

8500 Henry Ave
Andorra Shopping Center
Philadelphia, PA 19128-2111

Mailing address

8500 Henry Ave
Andorra Shopping Center
Philadelphia, PA 19128-2111
Phone (215) 487-2345

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912021999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 HENRY AVE",
            "address_2": "ANDORRA SHOPPING CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282111",
            "telephone_number": "215-487-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 HENRY AVE",
            "address_2": "ANDORRA SHOPPING CENTER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282111",
            "telephone_number": "215-487-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VICTOR JAY BAROUH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAROUH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-487-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE4645T",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.