Organization
PENNSYLVANIA OPTOMETRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEEST NAEEM PERVAIZ OD (OWNER)
(215) 387-3600
Entity
Organization
Contact information
Practice address
3600 MARKET ST, PHILADELPHIA, PA 19104-2641
(215) 387-3600
(215) 387-4784
Mailing address
3600 MARKET ST, PHILADELPHIA, PA 19104-2641
(215) 387-3600
(215) 387-4784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368327000
IBC
PA
Enumeration date
07/10/2008
Last updated
05/14/2009
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