Michael Joseph Jerjos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003080 Issued in VA

Practice address

180 W Girard Ave Ste 5
Philadelphia, PA 19123-1660

Phone

(215) 554-6222

NPI assigned

Jun 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, VA, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbison Eye Care LLCGroup PAC ID 7810223500, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Harbison Eye Care LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1174182588
  Medicare reassignment Care Compare group NPD
• Mayfair Vision Center LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1124913876
  Medicare reassignment NPD
• Trend Eye Care II LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1285029223
  Medicare reassignment NPD
• Trend Eye Care LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1457780595
  Medicare reassignment NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Rock Hill, SC
  • NPI 1205248481
  Medicare reassignment NPD
• Envision Eyecare PLLC

  • Optometrist
  • Stafford, VA
  • NPI 1922721554
  NPD Authorized official
• Grays Eye Care LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1619843539
  NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Indian Land, SC
  • NPI 1093679961
  NPD
• Myeyedr Optometry of South Carolina, LLC

  • Optometrist
  • Greer, SC
  • NPI 1376935007
  NPD

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1043705288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541527",
            "telephone_number": "540-658-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W GIRARD AVE STE 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231660",
            "telephone_number": "215-554-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5597 Tulip St Ste B8",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191241562",
            "country_code": "US",
            "telephone_number": "267-360-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 GARRISONVILLE RD",
            "address_purpose": "LOCATION",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541527",
            "country_code": "US",
            "telephone_number": "540-658-6983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 N Broad St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223319",
            "country_code": "US",
            "telephone_number": "215-866-1742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERJOS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004135",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hee Won Jeong, CRNP
• Karen Min Jeong, CRNA
• William Sehee Jeong, DDS
• Mary Jepsen, PMHNP-BC
• Lisa Ann Jericho, CRNA
• Kathleen Dalin Jerla, CRNP
• Jerold W. Miller, DDS, PC
• Stacey L Jeronis, MD
• Christine M Jerpbak, M.D.
• Jessica Jerrard, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.
• 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.

Verify at the official NPI Registry.