Bano, Elisa

Bano, Elisa is an individual health care provider with primary practice located at 5001 Frankford Ave , Philadelphia PA 19124-2619. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Pharmacy Service Providers / Pharmacy Technician. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Bano, Elisa can be contacted via phone (215) 288-5000.

Contact Information

Primary practice address
5001 Frankford Ave Philadelphia PA 19124-2619
Phone: (215) 288-5000
Fax: (215) 744-1233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG002681 Pennsylvania
Pharmacy Service Providers / Pharmacy Technician 183700000X 5793 Massachusetts
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00851100 New Jersey

Profile Details

NPI number 1679693741
LBN Legal business name Bano, Elisa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679693741 NPPES
Pennsylvania Other OEG002681 LICENSE

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