Organization
WEST PHILADELPHIA EYE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ANGELO J JONES OWNER (PRESIDENT)
(215) 748-0185
Entity
Organization
Contact information
Practice address
501 S 54TH ST, SUITE 25, PHILADELPHIA, PA 19143-1900
(215) 748-0185
(215) 748-0180
Mailing address
501 S 54TH ST, SUITE 25, PHILADELPHIA, PA 19143-1900
(215) 748-0185
(215) 748-0180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028206000
KEYSTONE HEALTH EAST
PA
01
—
31239B
31239B
PA
01
—
34743MD035544E
HEALTH PARTNERS
PA
Enumeration date
07/28/2006
Last updated
09/20/2013
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