Organization Active NPI

Eye Associates of Richboro PC

  • Optometrist
  • Richboro, PA
National Provider Identifier
1033445630
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008850 Issued in PA
Legal business name
EYE ASSOCIATES OF RICHBORO PC
Practice address
56 Richboro Newtown Rd
Richboro, PA 18954-1700
Phone
(215) 355-5818
NPI assigned
Nov 2, 2009
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Richard Michael Shetzline, ODNPI 1922173251
Title
Optometrist
Phone
(215) 355-5818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE007643T PA
Optometrist 152W00000X OET008850 PA Primary

Addresses

Primary practice location

56 Richboro Newtown Rd
Richboro, PA 18954-1700

Mailing address

56 Richboro Newtown Rd
Richboro, PA 18954-1700
Phone (215) 355-5818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101015000158 PA Part B Supplier - Clinic/Group Practice 0143346288 Receives reassigned benefits from 6 practitioners
Practice locations: Yardley, PA; Willow Grove, PA; Warrington, PA; Warminster, PA; Southampton, PA; Richboro, PA; North Wales, PA; Philadelphia, PA…
O20101203000872 NJ Part B Supplier - Clinic/Group Practice 0143346288 Receives reassigned benefits from 2 practitioners
Practice locations: Marlton, NJ; Moorestown, NJ; Mt Laurel, NJ; Pennsauken, NJ; Princeton, NJ; Sewell, NJ; Voorhees, NJ; Westampton, NJ…

National Provider Directory

National Provider Directory

Locations

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

181 Washington Rd
Princeton, NJ 08540
Phone (609) 514-0912

1435 Liberty St
Trenton, NJ 08629
Phone (609) 599-5433

1660 Whitehorse Hamilton Square Rd
#One
Trenton, NJ 08690
Phone (609) 586-4600

1 Brendenwood Dr
Voorhees, NJ 08043
Phone (856) 424-7773

1820 Bridgetown Pike
Fstrvl Trvose, PA 19053
Phone (215) 354-4480

1091 Horsham Rd
Horsham, PA 19044
Phone (215) 542-9670

2900 Southampton Rd
Philadelphia, PA 19154
Phone (215) 671-5116

56 Richboro Newtown Rd
Richboro, PA 18954
Phone (215) 322-4139

95 Almshouse Rd
Ste 102103
Richboro, PA 18954
Phone (215) 355-5818

2527 Bristol Rd
Warrington, PA 18976
Phone (215) 491-1501

493 Stony Hill Rd
Yardley, PA 19067
Phone (215) 321-6166

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1033445630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 RICHBORO NEWTOWN RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541700",
            "telephone_number": "215-355-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 RICHBORO NEWTOWN RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541700",
            "telephone_number": "215-355-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF RICHBORO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "SHETZLINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-355-5818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007643T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.