Organization
PHILADELPHIA VISION CENTER OF 15TH ST. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL M KABINOFF (PRESIDENT)
(215) 568-2838
Entity
Organization
Contact information
Practice address
1509 CHESTNUT ST, PHILADELPHIA, PA 19102-2501
(215) 568-2838
(215) 568-2515
Mailing address
1509 CHESTNUT ST, PHILADELPHIA, PA 19102-2501
(215) 568-2838
(215) 568-2515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001383
PA
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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