Provider Demographics
NPI:1942464185
Name:DAVINCI EYE CARE, LLC
Entity Type:Organization
Organization Name:DAVINCI EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-443-8580
Mailing Address - Street 1:600 LOUIS DR
Mailing Address - Street 2:SUITE 203-A
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2844
Mailing Address - Country:US
Mailing Address - Phone:215-443-8580
Mailing Address - Fax:215-672-7526
Practice Address - Street 1:600 LOUIS DR
Practice Address - Street 2:SUITE 203-A
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2844
Practice Address - Country:US
Practice Address - Phone:215-443-8580
Practice Address - Fax:215-672-7526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001479152W00000X
156F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6262400001Medicare NSC
NJ142316Medicare PIN
PA129238Medicare PIN