Organization Active NPI

Valley Eye Professionals LLC

  • Ophthalmology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1013964535
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD029289E Issued in PA
Legal business name
VALLEY EYE PROFESSIONALS LLC
Practice address
2755 Philmont Ave
Unit 140
Huntingdon Valley, PA 19006-5368
Phone
(215) 938-7878
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mrs. Nancy F Wilkinson
Title
Billing Manager
Phone
(215) 938-7865

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG000964 PA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD029289E PA Primary

Addresses

Primary practice location

2755 Philmont Ave
Unit 140
Huntingdon Valley, PA 19006-5368

Mailing address

2755 Philmont Ave
Unit 140
Huntingdon Valley, PA 19006-5321
Phone (215) 938-7878

Other identifiers 6

IdentifierTypeStateIssuer
1238982OtherPAAETNA
2676272000OtherPAINDEPENDENCE BLUE CROSS
2682367000OtherPAINDEPENDENCE BLUE CROSS
101727331MedicaidPA
1826953OtherPAHIGHMARK BLUE SHIELD
1821116OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060425000018 PA Part B Supplier - Clinic/Group Practice 9537179353 Receives reassigned benefits from 7 practitioners
Practice locations: Huntingdon Valley, PA
O20100930044856 PA DME Supplier - Physician - Ophthalmology 9537179353 Practice locations: Huntingdon Valley, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2078202Valley Eye Professionals2755 Philmont Avenue #140, Huntingdon Valley, PA 19006Certificate of waiverMay 22, 2028

National Provider Directory

National Provider Directory

Locations

2755 Philmont Ave
Ste 140
Huntingdon Vy, PA 19006
Phone (215) 938-7865

601 Franklin Mills Cir
Philadelphia, PA 19154
Phone (215) 821-3131

Interoperability endpoints

  • Direct secure messaging: lhiga@valleyeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1013964535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE",
            "address_2": "UNIT 140",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065321",
            "telephone_number": "215-938-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE",
            "address_2": "UNIT 140",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065368",
            "telephone_number": "215-938-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-938-7865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000964",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029289E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1238982",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2676272000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2682367000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101727331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1826953",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1821116",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.