NPIMap

Organization Active NPI

Myeyedr Optometry of Pennsylvania, LLC

  • 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
Practice address
40 Noble Blvd
Carlisle, PA 17013-4122
Phone
(717) 218-6656
NPI assigned
May 25, 2016
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 12

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

Practitioners 268

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 268

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

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

443 State Ave
Beaver, PA 15009
Phone (724) 728-1872

1315 6th Ave
Beaver Falls, PA 15010
Phone (724) 843-1870

626 Chambersburg Mall
Chambersburg, PA 17202
Phone (717) 263-7050

11 Tristan Dr
Ste 100
Dillsburg, PA 17019
Phone (717) 502-6019

4391 W Swamp Rd
Doylestown, PA 18902
Phone (215) 348-3127

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

59 Hadley Rd
Ste A
Greenville, PA 16125
Phone (724) 588-3322

3887 State Route 30
Latrobe, PA 15650

1315 N Providence Rd
Media, PA 19063
Phone (610) 566-6484

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

203 Blue Spruce Way
Murrysville, PA 15668

320 Central City Plz
New Kensington, PA 15068
Phone (724) 335-5721

201 N Craig St
Ste 105
Pittsburgh, PA 15213
Phone (412) 683-2727

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

13004 Murphy Rd
Stafford, TX 77477

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • MyEyeDr. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2022.

{
    "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.