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
1703 S BROAD ST, PHILADELPHIA, PA 19148-1536
(800) 448-6767
(215) 339-8103
Mailing address
1703 S BROAD ST, PHILADELPHIA, PA 19148-1536
(800) 448-6767
(215) 339-8103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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