Provider Demographics
NPI:1992967095
Name:NEIL P. SCHWARTZ, O. D. P. C.
Entity type:Organization
Organization Name:NEIL P. SCHWARTZ, O. D. P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:O D
Authorized Official - Phone:610-353-2300
Mailing Address - Street 1:15 REESE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4046
Mailing Address - Country:US
Mailing Address - Phone:610-353-2300
Mailing Address - Fax:610-353-2795
Practice Address - Street 1:15 REESE AVE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4046
Practice Address - Country:US
Practice Address - Phone:610-353-2300
Practice Address - Fax:610-353-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000575152WC0802X, 332B00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000546339Medicaid
PA0030928OtherAETNA
PA1936725OtherBLUE SHIELD
PAT28451Medicare UPIN
PA0030928OtherAETNA