Organization
LOGIC EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA HILL- BENNETT O.D. (CEO)
(215) 548-2010
Entity
Organization
Contact information
Practice address
6101 LIMEKILN PIKE, MEDICAL SUITE, PHILADELPHIA, PA 19141
(215) 548-2010
(215) 548-2130
Mailing address
1137 E MOUNT PLEASANT AVE, PHILADELPHIA, PA 19150-2901
(215) 548-2010
(215) 548-2130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000255
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019658780001
—
PA
01
—
097332
AETNA
PA
01
—
20189
AMERICHOICE/SPECTERA VISI
PA
01
—
223752000
KEYSTONE HEALTH PLAN EAST
PA
01
—
LH529261
BCBS
PA
01
—
P00010192
RAIL ROAD MEDICARE
PA
Enumeration date
08/25/2006
Last updated
05/05/2008
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