Sylvia Medina, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001366 Issued in PA

Practice address

2037 Stefko Blvd
Bethlehem, PA 18017-5444

Phone

(610) 419-6444

Fax

(610) 866-9462

NPI assigned

Jul 26, 2006

Last updated

Sep 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medoptic, P.C.

  • Optometrist
  • Bethlehem, PA
  • NPI 1356655047
  Authorized official Same address or phone
• Gabrielle Schoeppner MD and Associates, LLC

  • Ophthalmology Physician
  • Easton, PA
  • NPI 1184683070
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1033133830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 STEFKO BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175444",
            "telephone_number": "610-419-6444",
            "fax_number": "610-866-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 STEFKO BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180175444",
            "telephone_number": "610-419-6444",
            "fax_number": "610-866-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001366",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102486199 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of the Lehigh Valley PC
• Medical Complete Care Clinic
• Medical Staffing Network, Inc. (Nurses Plus)
• Dinnette Aracely Medina, MA
• Rene Agne Medina, LCSW
• Tasha Medina, LCSW
• Daniel Medlar, PSY.D.
• Medoptic, P.C.
• Diane Meehan, PAC
• Nathan Mege, DO

• Optometrist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.