VANTAGE EYECARE, LLC (NPI# 1871006171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871006171 |
| Entity Type | Organization |
| Organization Name | VANTAGE EYECARE, LLC |
| Practice Address |
1703 S Broad St Philadelphia PA 19148-1536 |
| Practice Telephone | 8004486767 |
| Practice Fax Number | 2153398103 |
| Mailing Telephone | 8004486767 |
| Mailing Fax Number | 2153398103 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | RICHARD B PRINCE (PRINCIPAL PHYSICIAN) |
| Authorized Official Telephone | 2153964211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228930 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | 2020-02-27 |
| 1598239196 | Vantage Eyecare, LLC | Ophthalmology | 775 Route 70 E Ste F180, Marlton, NJ 08053-2367 | 2019-01-16 |
| 1588136691 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1330 Powell St Ste 502, Norristown, PA 19401-3353 | 2018-12-31 |
| 1023580131 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 50 Monument Rd Ste 110, Bala Cynwyd, PA 19004-1706 | 2018-12-31 |
| 1760954879 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 9880 Bustleton Ave Ste 313, Philadelphia, PA 19115-2144 | 2018-12-31 |
| 1336652627 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 352 E Butler Ave, New Britain, PA 18901-5209 | 2017-11-09 |
| 1689184384 | Vantage Eyecare, LLC | Optometrist | 319 2nd Street Pike Ste B, Southampton, PA 18966-3811 | 2017-10-07 |
| 1578106373 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 3998 Red Lion Rd Ste 302, Philadelphia, PA 19114-1441 | 2019-10-24 |
| 1912561291 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 509 S Lenola Rd Ste 11a, Moorestown, NJ 08057-1561 | 2019-04-23 |
| 1639733918 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 25 Homestead Dr Ste A, Columbus, NJ 08022-1005 | 2019-04-23 |
| Street Address |
1703 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252333 | Marc Davis Garden | Ophthalmology | 1703 S Broad St, Philadelphia Eye Associates, Philadelphia, PA 19148-1536 | 2005-08-11 |
| 1609969625 | Rose Marie Covalesky | Physician Assistant | 1703 S Broad St, Ste 300, Philadelphia, PA 19148-1536 | 2006-10-02 |
| 1073587580 | Pasquale M Procacci | Internal Medicine | 1703 S Broad St, Suite 300, Philadelphia, PA 19148-1536 | 2006-02-14 |
| 1770557050 | Mark F Victor | Internal Medicine | 1703 S Broad St, Suite 300, Philadelphia, PA 19148 | 2006-02-14 |
| 1679547251 | Kenneth Forman | Internal Medicine | 1703 S Broad St, Suite 300, Philadelphia, PA 19148-1536 | 2006-02-13 |
| 1043203532 | Joseph I Markoff | Ophthalmology | 1703 S Broad St, Philadelphia, PA 19148-1536 | 2005-08-30 |
| 1356343248 | Mark H Blecher | Ophthalmology | 1703 S Broad St, Philadelphia, PA 19148-1536 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1487279170 | The Doctor Shop L.L.C. | Durable Medical Equipment & Medical Supplies | 10067 Sandmeyer Ln Ste 214, Philadelphia, PA 19116-3533 | 2020-06-09 |
| 1427687813 | Squeezren, LLC | Durable Medical Equipment & Medical Supplies | 5902 Old York Rd, Philadelphia, PA 19141-2342 | 2020-04-07 |
| 1881228930 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | 2020-02-27 |
| 1508410531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3550 Market St Ste 103, Philadelphia, PA 19104-3329 | 2019-07-29 |
| 1033761788 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 490 N. Broad Street Suite 100, Philadelphia, PA 19130-4312 | 2019-07-12 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1285196238 | Ernest Thomas Jr. | Durable Medical Equipment & Medical Supplies | 300 E Godfrey Ave, Philadelphia, PA 19120-1646 | 2019-04-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
Please comment or provide details below to improve the information on VANTAGE EYECARE, LLC.
| 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.