Organization Active NPI

Ophthalmology Physicians & Surgeons

  • Ophthalmology Physician
  • Hatboro, PA
National Provider Identifier
1003862459
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD038937E Issued in PA
Legal business name
OPHTHALMOLOGY PHYSICIANS & SURGEONS
Practice address
331 N York Rd
Hatboro, PA 19040-2033
Phone
(215) 672-4300
Fax
(215) 672-9524
NPI assigned
May 26, 2006
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mrs. Robin L Brass
Title
Billing Manager
Phone
(215) 672-4300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X PA
Optometrist 152W00000X OE5457P PA
Ophthalmology Physician 207W00000X MD038937E PA Primary

Addresses

Primary practice location

331 N York Rd
Hatboro, PA 19040-2033

Mailing address

1609 Woodbourne Rd
Suite 303
Levittown, PA 19057-1500
Phone (215) 547-1818

Other identifiers 1

IdentifierTypeStateIssuer
102934897-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000313 PA Part B Supplier - Clinic/Group Practice 2668365644 Receives reassigned benefits from 12 practitioners
Practice locations: North Wales, PA; Trappe, PA; Levittown, PA; Hatboro, PA; Fountain Hill, PA; Bethlehem, PA
O20100930098787 PA DME Supplier - Physician - OphthalmologyDME Supplier - Optician 2668365644 Practice locations: Hatboro, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ops331 N York Rd, Hatboro, PA 19040-2033(215) 672-4300 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Feb 8, 2017

National Provider Directory

National Provider Directory

Locations

1245 Highland Ave
Ste 503
Abington, PA 19001
Phone (215) 886-0330

1179 DeKalb Pike
#2
Blue Bell, PA 19422
Phone (610) 272-1211

331 N York Rd
Hatboro, PA 19040
Phone (215) 672-0777

303 Horsham Rd
Horsham, PA 19044
Phone (215) 672-4300

491 Allendale Rd
Ste 120
King of Prussia, PA 19406
Phone (610) 265-1188

10106 Valley Forge Cir
Kng of Prussa, PA 19406
Phone (610) 272-1644

1001 S Broad St
Ste 102
Lansdale, PA 19446
Phone (215) 361-1230

1085 S Broad St
#F
Lansdale, PA 19446
Phone (215) 361-1230

1140 Welsh Rd
Ste 220
North Wales, PA 19454
Phone (215) 542-1522

1018 Street Rd
Southampton, PA 18966
Phone (215) 322-8338

8200 Flourtown Ave
Ste 15
Wyndmoor, PA 19038
Phone (215) 836-2500

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1003862459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD",
            "address_2": "SUITE 303",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571500",
            "telephone_number": "215-547-1818",
            "fax_number": "215-547-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N YORK RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402033",
            "telephone_number": "215-672-4300",
            "fax_number": "215-672-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY PHYSICIANS & SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "BRASS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-672-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE5457P",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD038937E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102934897-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.