NPIMap

Organization Active NPI

Myeyedr Optometry of Pennsylvania, LLC

Doing business as MyEyeDr.

  • Optometrist
  • Carlisle, PA
National Provider Identifier
1003264607
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC
Doing business as
MyEyeDr.
Practice address
40 Noble Blvd
Carlisle, PA 17013-4122
Phone
(717) 218-6656
NPI assigned
May 25, 2016
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

40 Noble Blvd
Carlisle, PA 17013-4122

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • MyEyeDr. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109002363 PA Part B Supplier - Clinic/Group Practice 3971884883 Receives reassigned benefits from 262 practitioners

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Myeyedr Optometry of PA LLC67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2085 Mackenzie Way
Ste 600
Cranberry Township, PA 16066
Phone (878) 236-4796

453 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 547-5470

451 S Oxford Valley Rd
Fairless Hls, PA 19030
Phone (215) 547-5470

1404 W Chester Pike
Havertown, PA 19083
Phone (610) 853-2001

1555 Highlands Dr
Lititz, PA 17543
Phone (717) 625-4600

521 E Baltimore Pike
Media, PA 19063
Phone (610) 566-6484

203 Blue Spruce Way
Murrysville, PA 15668

104 Pheasant Run
Ste 114
Newtown, PA 18940
Phone (261) 364-5337

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

22 McIntyre Square Dr
Pittsburgh, PA 15237
Phone (412) 364-4700

509 Long Rd
Pittsburgh, PA 15235
Phone (412) 243-7117

645 Rodi Rd
Ste 100
Pittsburgh, PA 15235
Phone (412) 256-2020

14625 Mount Airy Rd
Shrewsbury, PA 17361
Phone (717) 227-2030

2553 E Market St
York, PA 17402
Phone (717) 757-5632

13004 Murphy Rd
Stafford, TX 77477

Practitioners & affiliated clinicians

Practitioners 268

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 268

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1003264607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NOBLE BLVD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134122",
            "telephone_number": "717-218-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.