Organization
TOTAL EYE CARE CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAI V GARDELLIS (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(609) 587-2020
Entity
Organization
Contact information
Practice address
1568 WOODBOURNE RD, LEVITTOWN, PA 19057-1508
(215) 943-7800
(215) 943-5799
Mailing address
1568 WOODBOURNE RD, LEVITTOWN, PA 19057-1508
(215) 943-7800
(215) 943-5799
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0657688
—
PA
05
—
3492508
—
NJ
05
—
3492516
—
NJ
01
—
4243
TECC - AETNA - GROUP
PA
01
—
549069
TECC - AETNA - GROUP
NJ
Enumeration date
08/13/2006
Last updated
12/06/2024
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