Delco Family Vision Center Inc.
Organization Active NPI Optometrist · Holmes, PA
NPI 1992983399 · NPPES record last updated Dec 2, 2013
Key facts
- NPI
- 1992983399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OET008767 (PA)
- Legal business name
- DELCO FAMILY VISION CENTER INC.
- Practice address
- 2179 Macdade Blvd
Holmes, PA 19043-1210 - Phone
- (610) 237-8555
- Fax
- (610) 237-8556
- NPI assigned
- Feb 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard Schilling
- Title
- President
- Phone
- (610) 237-8555
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120523000029 | PA | Part B Supplier - Clinic/Group Practice | 6608995642 |
Receives reassigned benefits from 1 practitioner Practice locations: Holmes, PA |
National Provider Directory
Locations
2179 Macdade Blvd
Holmes, PA 19043
Phone (610) 237-8555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OET008767 | PA | Yes |
Addresses
Primary practice location
2179 Macdade Blvd
Holmes, PA 19043-1210
Mailing address
2179 Macdade Blvd
Holmes, PA 19043-1210
Phone (610) 237-8555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2254792 | Other | AETNA | |
| 0707737000 | Other | KEYSTONE |
Other providers in Holmes, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.