Active NPI
Valley Eye Professionals LLC
- Ophthalmology Physician
- Huntingdon Valley, PA
National Provider Identifier
1013964535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD029289E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000964 | PA | |
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1238982 | Other | PA | AETNA |
| 2676272000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 2682367000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 101727331 | Medicaid | PA | |
| 1826953 | Other | PA | HIGHMARK BLUE SHIELD |
| 1821116 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2078202 | Valley Eye Professionals | Certificate of waiver | May 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Ophthalmology Physician
- Huntingdon Valley, PA
- NPI 1760831150
-
- Optometrist
- Huntingdon Valley, PA
- NPI 1407843063
-
- Ophthalmology Physician
- Huntingdon Valley, PA
- NPI 1023053600
-
- Optometrist
- Philadelphia, PA
- NPI 1407262520
-
- Ophthalmology Physician
- Huntingdon Valley, PA
- NPI 1588950786
-
- Optometrist
- Philadelphia, PA
- NPI 1952698177
-
- Ophthalmology Physician
- Huntingdon Valley, PA
- NPI 1144213372
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.