Gerson, Philip

Gerson, Philip is an sole proprietor health care provider with primary practice located at 7252 Frankford Ave , Philadelphia PA 19135-1017. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Gerson, Philip can be contacted via phone (215) 335-3555.

Contact Information

Primary practice address
7252 Frankford Ave Philadelphia PA 19135-1017
Fax: (215) 335-3540
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OE004177T Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OE004177T Pennsylvania

Profile Details

NPI number 1215013305
LBN Legal business name Gerson, Philip
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Apr 1st, 2008 - about 16 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 1215013305 NPPES
Pennsylvania MEDICAID 100737324003

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