Organization
PHILADELPHIA VISION CENTER OF ERIE AVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE L SHAPIRO ABOC (OWNER/OPTICIAN)
(215) 223-5000
Entity
Organization
Contact information
Practice address
1348 W ERIE AVE, PHILADELPHIA, PA 19140-4254
(215) 223-5000
(215) 223-9180
Mailing address
1348 W ERIE AVE, PHILADELPHIA, PA 19140-4254
(215) 223-5000
(215) 223-9180
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
003502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028724530001
—
PA
Enumeration date
02/09/2009
Last updated
03/28/2015
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