LOGIC EYECARE INC (NPI# 1073621728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621728 |
| Entity Type | Organization |
| Organization Name | LOGIC EYECARE INC |
| Practice Address |
6101 Limekiln Pike Medical Suite Philadelphia PA 19141 |
| Mailing Address |
1137 E Mount Pleasant Ave Philadelphia PA 19150-2901 |
| Practice Telephone | 2155482010 |
| Practice Fax Number | 2155482130 |
| Mailing Telephone | 2155482010 |
| Mailing Fax Number | 2155482130 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. TAMARA HILL- BENNETT (CEO) |
| Authorized Official Telephone | 2155482010 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000255 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AETNA | 097332 | 01 |
| PA | 0019658780001 | 05 | |
| PA | BCBS | LH529261 | 01 |
| PA | RAIL ROAD MEDICARE | P00010192 | 01 |
| PA | AMERICHOICE/SPECTERA VISI | 20189 | 01 |
| PA | KEYSTONE HEALTH PLAN EAST | 223752000 | 01 |
| Street Address |
6101 LIMEKILN PIKE MEDICAL SUITE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417911009 | Kenneth V. Williams | Family Medicine | 6101 Limekiln Pike, Medical Suite, Philadelphia, PA 19141-1423 | 2006-04-12 |
| 1396178323 | Dynamic Medical Urgent Care of Limekiln Pike | Clinic/Center | 6101 Limekiln Pike, Philadelphia, PA 19141-1423 | 2013-08-13 |
| 1033203518 | Dr. Kenneth Williams PC | Family Medicine | 6101 Limekiln Pike, Medical Suite, Philadelphia, PA 19141-1432 | 2006-10-02 |
| 1992813695 | Tamara Hill-bennett | Optometrist | 6101 Limekiln Pike, Philadelphia, PA 19141 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994923 | Chauncey Eyecare Associates Pllc | Optometrist | 6001 N 5th St Ofc, Philadelphia, PA 19120-1873 | 2019-10-28 |
| 1427604982 | Wendy Lin | Optometrist | 2828 Almond St, Philadelphia, PA 19134-4710 | 2019-08-12 |
| 1174182588 | Harbison Eye Care LLC | Optometrist | 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 | 2019-06-10 |
| 1346809738 | Steven Judson Moon | Optometrist | 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 | 2019-06-10 |
| 1639644172 | Om Optical | Optometrist | 1318 Walnut St, Philadelphia, PA 19107-5410 | 2018-10-11 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1508365784 | C Vision Inc | Optometrist | 1230 Chestnut St, Philadelphia, PA 19107-4849 | 2018-02-02 |
| 1043737943 | Wills Eye Optical Two, LLC | Optometrist | 800 Arch St, Philadelphia, PA 19107-3188 | 2017-08-23 |
| 1255854295 | Jin Gao | Optometrist | 602 N 11th St, Philadelphia, PA 19123-3324 | 2017-07-21 |
| 1043765050 | Chauncey Brown Jr. | Optometrist | 6001 N 5th Street, Office, Philadelphia, PA 19120-1825 | 2016-08-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.