Organization
VANTAGE EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B PRINCE (PRINCIPAL PHYSICIAN)
(215) 396-4211
Entity
Organization
Contact information
Practice address
9880 BUSTLETON AVE STE 313, PHILADELPHIA, PA 19115-2144
(215) 677-9762
(215) 677-6790
Mailing address
9880 BUSTLETON AVE STE 313, PHILADELPHIA, PA 19115-2144
(215) 677-9762
(215) 677-6790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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