ROXANNE MERRIETT (NPI# 1700385101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | OPTICAIAN | 81-5409729 | 01 |
| Street Address |
3810 PEARSON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on ROXANNE MERRIETT.
| 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.