Organization
PHILADELPHIA VISION ASSOCIATES GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MILLER (BILLING MANAGER)
(610) 491-2127
Entity
Organization
Contact information
Practice address
1516 LOCUST ST, PHILADELPHIA, PA 19102
(215) 546-0493
(610) 337-2133
Mailing address
1516 LOCUST ST, PHILADELPHIA, PA 19102-4401
(215) 546-0493
(610) 337-2133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
06/25/2018
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