Heather Tellez
Optometrist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1710691761
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1710691761
- Entity type
- Individual (NPI-1)
- Name
- Heather Tellez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2023
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG003892 | PA | Yes |
Practice location
180 W Girard Ave Ste 5Philadelphia, PA 19123-1660
Phone 215-554-6222
Mailing address
180 W Girard Ave Ste 5Philadelphia, PA 19123-1660
Other practice locations
1501 N Broad St Ste 7
Philadelphia, PA 19122-3319
Philadelphia, PA 19122-3319
Phone 215-866-1742
5597 Tulip St Ste B8
Philadelphia, PA 19124-1562
Philadelphia, PA 19124-1562
Phone 267-360-6944
612 Washington Ave Unit 3
Philadelphia, PA 19147-4836
Philadelphia, PA 19147-4836
Phone 215-599-2020
49 E City Ave # 10
Bala Cynwyd, PA 19004-2421
Bala Cynwyd, PA 19004-2421
Phone 610-206-3866
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