Zeitlin, Ira Charles

Zeitlin, Ira Charles is an individual health care provider with primary practice located at 3935 Chestnut St , Philadelphia PA 19104-3110. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zeitlin, Ira Charles can be contacted via phone (215) 386-6200.

Contact Information

Primary practice address
3935 Chestnut St Philadelphia PA 19104-3110
Phone: (215) 386-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OE005729T Pennsylvania

Profile Details

NPI number 1104802404
LBN Legal business name Zeitlin, Ira Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 5th, 2008 - about 18 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 1104802404 NPPES
Pennsylvania MEDICAID 0145640501

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