Amanda Pallister (NPI# 1578947289, PAC ID# 4183939853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1578947289 |
| PAC ID by PECOS | 4183939853 |
| Professional Enrollment ID | I20150811004126 |
| Full Name | Amanda Pallister |
| Organization Legal Name | PROGRESSIVE VISION INSTITUTE OF PHILADELPHIA, PC |
| Address |
8401 Bustleton Ave Philadelphia PA 19152-1901 |
| Phone Number | 2157455050 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3274423165 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8401 Bustleton Ave, Philadelphia, PA 19152-1901 | 2157455050 | PROGRESSIVE VISION INSTITUTE OF PHILADELPHIA, PC |
| Organization Legal Name | PROGRESSIVE VISION INSTITUTE OF PHILADELPHIA, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Kellogg | Ophthalmology | Progressive Vision Institute of Philadelphia, PC | 100 E Lehigh Ave, Philadelphia, PA 19125-1098 |
| Stella Linda Luo | Ophthalmology | Progressive Vision Institute of Philadelphia, PC | 100 E Lehigh Ave, Philadelphia, PA 19125-1098 |
| Street Address |
8401 BUSTLETON AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19152-1901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Gold | Nurse Practitioner | Einstein Practice Plan Inc | 8556 Bustleton Ave, Philadelphia, PA 19152-1218 |
| Charles C Whitlock Jr. | Clinical Social Worker | Informed Decisions for Seniors, LLC | 2640 Maxwell St, Philadelphia, PA 19152-1551 |
| Mariam Salahou | Nurse Practitioner | 16 Old Ashton Rd, Suite 1, Philadelphia, PA 19152-1661 | |
| Michael Ziev | Family Medicine | 1800 Fox Chase Rd, Philadelphia, PA 19152-1827 | |
| Thomas C Peff | Orthopedic Surgery | 8407 Bustleton Ave, Philadelphia, PA 19152-1901 | |
| Kristina Bagdasarian | Optometry | 8354 Bustleton Ave, Philadelphia, PA 19152-1909 | |
| Abigail Abbas | Clinical Social Worker | 8400 Bustleton Ave, Suite 7, Philadelphia, PA 19152-1918 | |
| Itzhak Kaganovich | Chiropractic | 8400 Bustleton Ave, Suite 102, Philadelphia, PA 19152-1918 | |
| Anna C Lysiak | Internal Medicine | 8400 Bustleton Ave, Suite 101, Philadelphia, PA 19152-1918 | |
| Samuel Krainsky | Internal Medicine | 8400 Bustleton Ave, Suite 103, Philadelphia, PA 19152-1918 | |
| Find all physicians in zip 19152 | |||
| City | PHILADELPHIA |
| Zip Code | 19152 |
| Specialty | OPTOMETRY |
| City + Specialty | PHILADELPHIA + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.