# INNERVISION OPTICAL LLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** InnerVision Fine Eyewear
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336393198
- **Authorized official:** MR. CLIFTON BALTER (OWNER/OPTICIAN/MANAGER)
- **Authorized official phone:** (215) 832-0350

## Contact information

- **Practice address:** 1700 SANSOM ST, PHILADELPHIA, PA 19103-5234
- **Practice address phone:** (215) 832-0350
- **Practice address fax:** (215) 832-0357
- **Mailing address:** 1700 SANSOM ST, PHILADELPHIA, PA 19103-5234
- **Mailing address phone:** (215) 832-0350
- **Mailing address fax:** (215) 832-0357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 11/06/2008
