Provider Demographics
NPI:1881838217
Name:MEDICAL CODERS LLC
Entity Type:Organization
Organization Name:MEDICAL CODERS LLC
Other - Org Name:FAMILY VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SUSCAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-368-4660
Mailing Address - Street 1:850 S VALLEY FORGE RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4261
Mailing Address - Country:US
Mailing Address - Phone:215-368-4660
Mailing Address - Fax:215-368-7176
Practice Address - Street 1:850 S VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4261
Practice Address - Country:US
Practice Address - Phone:215-368-4660
Practice Address - Fax:215-368-7176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU01335Medicare UPIN