Organization
STC PEDIATRICS LLC
Active
Organization
STC PEDIATRICS LLC
Active
Other names
ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES OPHTHALMOLOGY - E. ERIE AVENUE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MICHAEL VALENTINO JR. (VP OF REVENUE INTEGRITY)
(484) 628-9380
Entity
Organization
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8120
Mailing address
PO BOX 13579, READING, PA 19612-3579
(610) 743-6049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/30/2019
Last updated
06/02/2026
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