Active NPI
Jeffrey L Varner, O.D.
- Optometrist
- North Wales, PA
National Provider Identifier
1033256649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- PA-6648-T
- Practice address
- 116 S Main St
North Wales, PA 19454-2833 - Phone
- (215) 699-2020
- Fax
- (215) 699-2020
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | PA-6648-T | PA | Primary |
Addresses
Primary practice location
116 S Main St
North Wales, PA 19454-2833
Mailing address
116 S Main St
North Wales, PA 19454-2833
Phone (215) 699-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130225000010 | PA | Practitioner - Optometry | 3971579152 | Practice locations: North Wales, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-6648-T | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302480000000",
"number": "1033256649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S MAIN ST",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542833",
"telephone_number": "215-699-2020",
"fax_number": "215-699-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S MAIN ST",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542833",
"telephone_number": "215-699-2020",
"fax_number": "215-699-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNER",
"first_name": "JEFFREY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2011-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "PA-6648-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
- V Hari Counseling and Counsulting
- Valencia Nicholas Inc
- Denise Gabrielle Van Der Wel, MA, LAC, LPC
- Kimberly Sue Vanhaitsma, PH.D
- Arun Vankawala, RPH
- John Vercher, MPT
- Village Physical Therapy and Pilates and Wellness
- Danielle Jacqueline Villar
- Visionworks, Inc. (Visionworks)
- VRL Medical Practice PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.