ADEKUNLE EMMANUEL OLUWADARE


Address: 3901 Market St, Amos Green Optics, Philadelphia, PA 19104-3133
Phone: 2153860152

ADEKUNLE EMMANUEL OLUWADARE (NPI# 1215925078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215925078
Entity Type Individual
Full Name ADEKUNLE EMMANUEL OLUWADARE
Credential OD MSC
Practice Address 3901 Market St
Amos Green Optics
Philadelphia
PA 19104-3133
Mailing Address 3422 John F Kennedy Dr
Upland
PA 19015-2619
Practice Telephone 2153860152
Practice Fax Number 2153863713
Mailing Telephone 6104479894
Enumeration Date 2005-10-06
Last Update Date 2011-03-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OEG001715 PA Eye and Vision Services Providers

Office Location

Street Address 3901 MARKET ST
AMOS GREEN OPTICS
City PHILADELPHIA
State PA
Zip Code 19104-3133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538633722 Shariah Jasmine Williams Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2019-01-22
1598238024 Amanda Nayd Cruz Gerena Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2019-01-08
1689147118 Rayna Smaller Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2019-01-08
1023597580 Kaliah Meadows Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2018-08-07
1912429945 Joseph Thomas Beinlich Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2017-07-12
1831611862 Madjanie Augustin Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2017-07-12
1861937724 Marianne Robinet Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2017-01-03
1174075188 Cisse Sacko Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2016-10-26
1194273045 Jennifer Deuel Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2016-09-20
1528515491 Janay Dempsey Social Worker 3901 Market St, Philadelphia, PA 19104-3133 2016-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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