| Keystone Eye Associates, Llc | |
|
9126 Blue Grass Rd, Philadelphia, PA 19114-3202 | |
| (215) 331-4141 | |
| (215) 338-0167 |
| Full Name | Keystone Eye Associates, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 9126 Blue Grass Rd, 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 |
|---|---|---|---|
| 1194779207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | John J Siliquini |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225025299 PECOS PAC ID: 3678543287 Enrollment ID: I20040730000155 |
| Provider Name | John J Siliquini |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942294723 PECOS PAC ID: 5890784086 Enrollment ID: I20040730000188 |
| Provider Name | Dennis Slochower |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932192259 PECOS PAC ID: 0345239547 Enrollment ID: I20040730000419 |
| Provider Name | Leonard B Nelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093789679 PECOS PAC ID: 7113990003 Enrollment ID: I20040818000762 |
| Provider Name | Leo Santamarina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659339646 PECOS PAC ID: 0840269213 Enrollment ID: I20041001000433 |
| Provider Name | Lawrence P Roach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619910023 PECOS PAC ID: 1153326210 Enrollment ID: I20060922000393 |
| Provider Name | Scott J Fudemberg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568510675 PECOS PAC ID: 3476653270 Enrollment ID: I20070710000012 |
| Provider Name | Jurij R Bilyk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821098740 PECOS PAC ID: 8921056821 Enrollment ID: I20080409000700 |
| Provider Name | Aaron D Cohn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952517435 PECOS PAC ID: 2769534437 Enrollment ID: I20120906000409 |
| Provider Name | Ravi Dilip Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013280890 PECOS PAC ID: 8022272376 Enrollment ID: I20140714000136 |
| Provider Name | Nirali P Bhatt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174758791 PECOS PAC ID: 5698991859 Enrollment ID: I20140723002232 |
| Provider Name | Daniel Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649566290 PECOS PAC ID: 5799006797 Enrollment ID: I20150602002860 |
| Provider Name | Jason S Flamendorf |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982091401 PECOS PAC ID: 7012200264 Enrollment ID: I20190613002479 |
| Provider Name | Priscilla Quynh-phuong Vu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538522669 PECOS PAC ID: 6103180559 Enrollment ID: I20210616001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Eye Associates, Llc 9126 Blue Grass Rd, Philadelphia, PA 19114-3202 Ph: (215) 331-4141 | Keystone Eye Associates, Llc 9126 Blue Grass Rd, Philadelphia, PA 19114-3202 Ph: (215) 331-4141 |