ROXANNE MERRIETT


Address: 3810 Pearson Ave, Philadelphia, PA 19114-2833
Phone: 2159046638

ROXANNE MERRIETT (NPI# 1700385101) 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) 1700385101
Entity Type Individual
Full Name ROXANNE MERRIETT
Practice Address 3810 Pearson Ave
Philadelphia
PA 19114-2833
Mailing Address 9697 Academy Rd
Philadelphia
PA 19114-1701
Practice Telephone 2159046638
Practice Fax Number 2158563151
Mailing Telephone 2159046638
Mailing Fax Number 2158563151
Enumeration Date 2018-02-12
Last Update Date 2018-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
PA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA OPTICAIAN 81-5409729 01

Office Location

Street Address 3810 PEARSON AVE
City PHILADELPHIA
State PA
Zip Code 19114-2833

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1407409568 Leslie Pinkney Technician/Technologist 4902 Pulaski Ave, Philadelphia, PA 19144-4131 2019-07-18
1861995938 Spectix Haverford Technician/Technologist 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 2018-03-14
1639684665 Christopher Brown Technician/Technologist 6831 N 9th St, Philadelphia, PA 19126-2904 2017-12-13
1740635648 National Vision, Inc. Technician/Technologist 7636 City Line Ave, Philadelphia, PA 19151-2007 2016-04-28
1477982957 Alan Spear Technician/Technologist 6441 Rising Sun Ave, Philadelphia, PA 19111-5228 2013-11-05
1841625928 Market St Optical Inc Technician/Technologist 1325 Market St, Philadelphia, PA 19107-2500 2013-09-09
1831524818 Chestnut St Optical Inc Technician/Technologist 4002 Chestnut St, Philadelphia, PA 19104-3020 2013-09-09
1982039061 Aramingo Optical Inc Technician/Technologist 3853 Aramingo Ave, Philadelphia, PA 19137-1003 2013-09-09
1548513625 Bernadette Ford Technician/Technologist 715 S Ithan St, Philadelphia, PA 19143-2809 2012-10-26
1720217359 Omega Optical At Comcast Center Technician/Technologist 1 Comcast Ctr, 1701 Jfk Blvd., Philadelphia, PA 19103-2838 2009-07-02
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Competitor

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City PHILADELPHIA
Zip Code 19114

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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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