Provider Demographics
NPI:1255929725
Name:NORTHERN OPHTHALMIC ASSOCIATES
Entity type:Organization
Organization Name:NORTHERN OPHTHALMIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:F
Authorized Official - Last Name:PYFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-885-6830
Mailing Address - Street 1:500 YORK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2871
Mailing Address - Country:US
Mailing Address - Phone:215-885-6830
Mailing Address - Fax:
Practice Address - Street 1:3998 RED LION RD STE 302
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1441
Practice Address - Country:US
Practice Address - Phone:215-824-1717
Practice Address - Fax:215-281-0759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies