Ophthalmology Ctr. , LTD.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OPHTHALMOLOGY CTR. , LTD.

Doing business as

Haddonfield Eye Association

Practice address

1637 S Broad St
Philadelphia, PA 19148-1003

Phone

(215) 465-7100

Fax

(215) 463-3550

NPI assigned

May 22, 2006

Last updated

Feb 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Mussoline

Title

Office Supervisor

Phone

(856) 429-2199

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Haddonfield Eye Association Doing business as

Locations

Practitioners 2

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.

• Edward Alan Deglin, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1164428744
  NPD (past)
• Robert Vincent Castrovinci, M.D.

  • Ophthalmology Physician
  • Portage, WI
  • NPI 1265428841
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1043264195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481003",
            "telephone_number": "215-465-7100",
            "fax_number": "215-463-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481003",
            "telephone_number": "215-465-7100",
            "fax_number": "215-463-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY CTR. , LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "MUSSOLINE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "856-429-2199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0114330000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "55507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haddonfield Eye Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.