1891718912 NPI number — OPHTHALMIC ASSOCIATES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891718912 NPI number — OPHTHALMIC ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPHTHALMIC ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FLOURTOWN EYE ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891718912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1811 BETHLENEM PIKE
Provider Second Line Business Mailing Address:
STE. # 223
Provider Business Mailing Address City Name:
FLOURTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19031-1111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-233-1116
Provider Business Mailing Address Fax Number:
215-233-5556

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1811 BETHLENEM PIKE
Provider Second Line Business Practice Location Address:
STE. # 223
Provider Business Practice Location Address City Name:
FLOURTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19031-1111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-233-1116
Provider Business Practice Location Address Fax Number:
215-233-5556
Provider Enumeration Date:
07/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
NEAL
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT /OWNER
Authorized Official Telephone Number:
215-233-1116

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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