TRI-STATE EYE ASSOC. (NPI# 1851446918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851446918 |
| Entity Type | Organization |
| Organization Name | TRI-STATE EYE ASSOC. |
| Practice Address |
4101 Tyson Ave Philadelphia PA 19135-1615 |
| Mailing Address |
17 Llanfair Cir Ardmore PA 19003-3342 |
| Practice Telephone | 2156240500 |
| Practice Fax Number | 2153331195 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-07-21 |
| Authorized Official Name | DR. EDWARD W GERNER (PHYSICIAN) |
| Authorized Official Telephone | 2156240500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD018913E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4101 TYSON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19135-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790706778 | Premier Endodontics, PC | Dentist | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2006-07-22 |
| 1154472165 | Edward W Gerner | Ophthalmology | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2007-01-16 |
| 1427068717 | Premier Family Dental, LLC | Dentist | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922508001 | Creative Steps Services Inc | Local Education Agency (LEA) | 7036 Frankford Avenue (first Floor), Philadelpha, PA 19135 | 2018-02-15 |
| 1467856716 | Louise Jones | Counselor | 4043 Comly Street Floor 1, Philadelphia, PA 19135 | 2014-10-15 |
| 1497198493 | Dinah Warren | Nurse Practitioner | 7001 Frankford Ave #7027, Philadelphia, PA 19135 | 2013-04-10 |
| 1447480470 | Benny M Ninan | Pharmacist | 6327 43 Torresdale Ave, Philadelphia, PA 19135 | 2009-07-24 |
| 1396894606 | Paul A Cohen Dds | Dentist | 6808 Frankford Ave, Phila, PA 19135 | 2007-01-09 |
| 1821152315 | Stuart Cobert Baer | Family Medicine | 4600 Cottman Ave, Phila, PA 19135 | 2006-12-20 |
| 1568520401 | The Foot and Ankle Group PC | Podiatrist | 6921 Frankford Avenue, Suite D, Philadelphia, PA 19135 | 2006-12-04 |
| 1497841290 | Paul A Cohen | Dentist | 6808 Frankford Avenue, Philadelphia, PA 19135 | 2006-10-05 |
| 1215948344 | Young J Genau | Family Medicine | 7131-39 Frankford Avenue, Philadelphia, PA 19135 | 2006-08-11 |
| 1992735294 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 6327 43 Torresdale Avenue, Philadelphia, PA 19135 | 2006-07-03 |
| Find all providers in zip 19135 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1083105654 | Shuai-chun Lin | Ophthalmology | 5401 Old York Rd Ste 205, Philadelphia, PA 19141-3044 | 2018-05-19 |
| 1285188383 | Imran Jivraj | Ophthalmology | 3737 Chestnut St, Apt 809, Philadelphia, PA 19104-7702 | 2016-08-08 |
| 1063851160 | Durga Borkar | Ophthalmology | 840 Walnut St Ste 1020, Philadelphia, PA 19107-5109 | 2013-06-21 |
| 1205275922 | Katherine Elizabeth Uyhazi | Ophthalmology | 3801 Filbert St Ste 515, Philadelphia, PA 19104 | 2013-06-15 |
| 1548605231 | Avni Umesh Badami | Ophthalmology | 51 N 39th St Ste 515, Philadelphia, PA 19104-2640 | 2013-05-08 |
| 1063755361 | Alison Blair Huggins Watson | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5109 | 2013-04-04 |
| 1447509807 | William Alan Raich | Ophthalmology | 210 Locust St, Apt. 19ab, Philadelphia, PA 19106-3934 | 2012-08-31 |
| 1780955575 | Collazo Ophthalmology & Optometry | Ophthalmology | 4231 N 5th St, Philadelphia, PA 19140-2602 | 2012-01-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19135 |
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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.