Prime Opticals LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PRIME OPTICALS LLC

Practice address

2600 Willow Street Pike N
Willow Street, PA 17584-9388

Phone

(412) 491-7603

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Maulikkumar PatelNPI 1427049824

Title

President

Phone

(412) 491-7603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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

• Stanley D. Skolnick, O.D

  • Optometrist
  • Lancaster, PA
  • NPI 1285786517

  PA

  Medicare reassignment NPD
• Maulikkumar B Patel, MD

  • Internal Medicine Physician
  • Lancaster, PA
  • NPI 1427049824
  NPD Authorized official
• Tyler Reppert, O.D.

  • Optometrist
  • Willow Street, PA
  • NPI 1215486121
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1013367085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ECKER DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175436510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILLOW STREET PIKE N",
            "city": "WILLOW STREET",
            "state": "PA",
            "postal_code": "175849388",
            "telephone_number": "412-491-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME OPTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAULIKKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-491-7603"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Dialysis of Lancaster LLC
• Anita L Pilkerton-Plumb, MSW LSW
• Rebecca L Poole, CRNP
• Sonja Powers, DC
• Robert S Pratt, MD
• Reason and Breath, LLC Dba Status Therapy, LLC
• Reppert Eye Care PLLC
• Tyler Reppert, O.D.
• Meek Rineer, BS, CFRS, AAC, CTP
• Ivelisse Rodriguez

• All providers in Willow Street, PA
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.