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PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA NPI 1699280719


NPI Information

NPI: 1699280719
Provider Name: PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA
Classification: Ophthalmology - 207WX0110X
Entity Type: Organization

Specialization: Pediatric Ophthalmology and Strabismus Specialist

Address:
3855 W CHESTER PIKE STE 335
NEWTOWN SQUARE, PA
ZIP 19073
Phone: (610) 347-7672
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PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA is a pediatric ophthalmology and strabismus specialist ophthalmology in Newtown Square, PA. The provider is an ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. PEDIATRIC OPHTHALMOLOGY & STRABISMUS ASSOCIATES OF SOUTHEASTERN PA NPI is 1699280719. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3855 W CHESTER PIKE STE 335
NEWTOWN SQUARE, PA
ZIP 19073-304
Phone: (610) 347-7672
Fax: (610) 347-7673

The provider's authorized official is Laura A Gifford .
The authorized official title is Med Staff and has the following contact phone number (708) 296-4917.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 4/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistMD426706PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11014748450002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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