Dr. Carlo J Pelino
Optometrist
1200 W Godfrey Ave
Philadelphia
, Pennsylvania 19141-3323
Dr. Carlo J Pelino
Optometrist
1200 W Godfrey Ave
Philadelphia
, Pennsylvania 19141-3323
(215) 421-3241
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Carlo J Pelino
- 500 West Ave Apt B14
- Jenkintown, PA
- Zip : 19046-2726
- Phone : (215) 421-3241
Second Address
- Dr. Carlo J Pelino
- 1200 W Godfrey Ave
- Philadelphia, PA
- Zip : 19141-3323
- Fax : (215) 276-1329
- Phone : (215) 276-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000913 | PA |
National Provider Identifier
| NPI | 1003917378 |
|---|---|
| Provider Name | Dr. Carlo J Pelino |
| First Address | Jenkintown, PA 19046-2726 |
| Second Address | Philadelphia, PA 19141-3323 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0459326000 | KEYSTONE EAST (01) | PA |
| 05571 | BLUE SHIELD (01) | PA |
| U84772 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.