| Drexel University | |
|
1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | |
| (215) 276-6000 | |
| (215) 276-1329 |
| Full Name | Drexel University |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1200 W Godfrey Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336160027 | NPI | - | NPPES |
| 01628 | Other | PA | HEALTH PARTNERS PA |
| 0053189000 | Other | PA | KEYSTONE EAST OPHTHALMOLO |
| 2248 | Other | PA | AETNA US HEALTHCARE |
| 0005591590030 | Medicaid | PA | |
| 0062163000 | Other | PA | KEYSTONE EAST OPTOMETRIC |
| 026958 | Other | PA | PA BLUE SHIELD OPTOMETRIC |
| 1002136 | Other | PA | MERCY HEALTH PLAN PA |
| 132200 | Other | PA | PA BLUE SHIELD OPHTHALMOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| Provider Name | Gwenn Amos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598850349 PECOS PAC ID: 0941102677 Enrollment ID: I20040123000185 |
| Provider Name | Kelly Malloy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598773384 PECOS PAC ID: 3476446766 Enrollment ID: I20040202000980 |
| Provider Name | James S Lewis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225092315 PECOS PAC ID: 8224018809 Enrollment ID: I20040723000424 |
| Provider Name | Stephanie Ruth Holt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366450157 PECOS PAC ID: 8325011372 Enrollment ID: I20040817001137 |
| Provider Name | Melissa A Vitek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013929710 PECOS PAC ID: 9638143274 Enrollment ID: I20040820000503 |
| Provider Name | De Gaulle Igbodiegwu Chigbu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730197518 PECOS PAC ID: 6507831021 Enrollment ID: I20040830000031 |
| Provider Name | Joshua Matthew Greene |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619978756 PECOS PAC ID: 1456387513 Enrollment ID: I20060629000334 |
| Provider Name | Andrew S Gurwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326056128 PECOS PAC ID: 4082714662 Enrollment ID: I20070711000763 |
| Provider Name | Jenny Myung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356504971 PECOS PAC ID: 8729152491 Enrollment ID: I20080730000390 |
| Provider Name | Dawn M. Ciccarone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033383658 PECOS PAC ID: 9739256124 Enrollment ID: I20080926000516 |
| Provider Name | G Richard Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508880329 PECOS PAC ID: 7416017587 Enrollment ID: I20081119000268 |
| Provider Name | Rachel Brackley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881824597 PECOS PAC ID: 5698820579 Enrollment ID: I20090827000815 |
| Provider Name | Erin Draper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598995201 PECOS PAC ID: 6608921085 Enrollment ID: I20090909000138 |
| Provider Name | Brandy Scombordi-raghu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336159268 PECOS PAC ID: 4385785302 Enrollment ID: I20100112000652 |
| Provider Name | Lynn Greenspan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851492565 PECOS PAC ID: 1153458195 Enrollment ID: I20100422000358 |
| Provider Name | Jeffrey Nyman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962419036 PECOS PAC ID: 9032247903 Enrollment ID: I20100513000614 |
| Provider Name | Jean Pagani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013008226 PECOS PAC ID: 1355471939 Enrollment ID: I20100608000396 |
| Provider Name | Carlo Pelino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003917378 PECOS PAC ID: 6709918733 Enrollment ID: I20100709000532 |
| Provider Name | Maria Armandi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699885657 PECOS PAC ID: 0648302877 Enrollment ID: I20100722000903 |
| Provider Name | Maryjo Ann A Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942431663 PECOS PAC ID: 8729263181 Enrollment ID: I20110428000223 |
| Provider Name | Luis C Trujillo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619109758 PECOS PAC ID: 0547439895 Enrollment ID: I20110803000446 |
| Provider Name | Hugo M Linares |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013143726 PECOS PAC ID: 6406907344 Enrollment ID: I20110901000117 |
| Provider Name | Doan Trang Kwak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093060444 PECOS PAC ID: 6002062494 Enrollment ID: I20120820000530 |
| Provider Name | Byung Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790072015 PECOS PAC ID: 3678712403 Enrollment ID: I20130626000785 |
| Provider Name | Jessica Ackert |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437301629 PECOS PAC ID: 3476722596 Enrollment ID: I20130717000328 |
| Provider Name | Laine Higa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407262520 PECOS PAC ID: 3274751854 Enrollment ID: I20140822001157 |
| Provider Name | Bisant Labib |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558777664 PECOS PAC ID: 6800014481 Enrollment ID: I20140822001205 |
| Provider Name | Shivakhaami Meiyeppen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578972410 PECOS PAC ID: 4082833611 Enrollment ID: I20140915000867 |
| Provider Name | Ashley Maglione |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346624228 PECOS PAC ID: 4587979166 Enrollment ID: I20150811004655 |
| Provider Name | Erin Kenny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760866479 PECOS PAC ID: 1052626207 Enrollment ID: I20150817001852 |
| Provider Name | Erin C Jenewein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154654754 PECOS PAC ID: 1355485178 Enrollment ID: I20150819009004 |
| Provider Name | Andrew Meagher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073982401 PECOS PAC ID: 8022327683 Enrollment ID: I20151021002080 |
| Provider Name | Stephanie Leburg- Jett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730531336 PECOS PAC ID: 1153617741 Enrollment ID: I20160908000168 |
| Provider Name | Nicholas J Gidosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881081461 PECOS PAC ID: 2163737438 Enrollment ID: I20170123000216 |
| Provider Name | Elise B Ciner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548325863 PECOS PAC ID: 5496031684 Enrollment ID: I20170425001307 |
| Provider Name | Natalia Kobrenko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245768043 PECOS PAC ID: 4688946437 Enrollment ID: I20170815000536 |
| Provider Name | Nicholas Karbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588191985 PECOS PAC ID: 1153693304 Enrollment ID: I20170823000045 |
| Provider Name | Christin Noel Demoss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902336043 PECOS PAC ID: 7416229455 Enrollment ID: I20170825000336 |
| Provider Name | Navpreet Hehar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801247291 PECOS PAC ID: 7517233174 Enrollment ID: I20171026000156 |
| Provider Name | Erin Sherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154772614 PECOS PAC ID: 9739467416 Enrollment ID: I20171227002202 |
| Provider Name | Stanley W Hatch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720077902 PECOS PAC ID: 1658496260 Enrollment ID: I20180409000704 |
| Provider Name | Alice Hyun Jin Lim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164918033 PECOS PAC ID: 6002163482 Enrollment ID: I20180717000016 |
| Provider Name | Hang T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518443654 PECOS PAC ID: 7113275785 Enrollment ID: I20180731000060 |
| Provider Name | David M Meltzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710912167 PECOS PAC ID: 4981891082 Enrollment ID: I20190122000466 |
| Provider Name | Chad Killen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033771878 PECOS PAC ID: 8426385089 Enrollment ID: I20190806001646 |
| Provider Name | Korey Ann Patrizi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881212629 PECOS PAC ID: 3476979246 Enrollment ID: I20200812000031 |
| Provider Name | Fiza Tariq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487264438 PECOS PAC ID: 5092131706 Enrollment ID: I20200812001345 |
| Provider Name | Elizabeth Marie Marunde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013535848 PECOS PAC ID: 9032535372 Enrollment ID: I20200817002712 |
| Provider Name | Gabriel Mark Fickett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457707192 PECOS PAC ID: 2668760786 Enrollment ID: I20201016000344 |
| Provider Name | Maria L Parisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104836071 PECOS PAC ID: 6002227329 Enrollment ID: I20201117003126 |
| Provider Name | Anthony Thomas Boyd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558932848 PECOS PAC ID: 9335542786 Enrollment ID: I20210723000161 |
| Provider Name | Alethia Imani Love Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043986615 PECOS PAC ID: 1658777115 Enrollment ID: I20210908002756 |
| Provider Name | Nikhil Deep Bansal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215538061 PECOS PAC ID: 9234537242 Enrollment ID: I20211006000030 |
| Provider Name | Lauren White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306403860 PECOS PAC ID: 6800219049 Enrollment ID: I20230222001220 |
| Provider Name | Heidi Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780364257 PECOS PAC ID: 0941661102 Enrollment ID: I20230803003049 |
| Provider Name | Karan M Johal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548948003 PECOS PAC ID: 0648631796 Enrollment ID: I20230804002445 |
| Provider Name | Dariela Cardo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497433742 PECOS PAC ID: 3870955040 Enrollment ID: I20230821001180 |
| Provider Name | Jessica Faith Kaplan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700628005 PECOS PAC ID: 7012452790 Enrollment ID: I20240717004279 |
| Provider Name | Daniel Hoffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003651233 PECOS PAC ID: 1658817283 Enrollment ID: I20240719000554 |
| Provider Name | Brian George |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336985563 PECOS PAC ID: 8325584956 Enrollment ID: I20240719000773 |
| Provider Name | Jenny Dang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457197295 PECOS PAC ID: 0244776011 Enrollment ID: I20240729003161 |
| Provider Name | Dhruvi Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891537312 PECOS PAC ID: 6406393198 Enrollment ID: I20240730003745 |
| Provider Name | Samantha Round |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720826472 PECOS PAC ID: 7214475037 Enrollment ID: I20240812002681 |
| Mailing Address | Practice Location Address |
|---|---|
| Drexel University 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6000 | Drexel University 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6000 |
Daniel Hoffman, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Carlo J Pelino, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Jean Marie Pagani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6167 | |
Dr. Shelley Ilene Cutler-frankel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 51 N. 39th Street, Philadelphia, PA 19104 Phone: 215-662-8100 Fax: 215-662-1721 | |
Elizabeth Marie Marunde, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Dr. Melissa A Vitek, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329 | |
Wills Eye Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 840 Walnut St, Philadelphia, PA 19107 Phone: 215-825-4771 |