Organization Active NPI

Modern Eye Inc

Doing business as modern eye

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1063423309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PA OB008278 Issued in PA
Legal business name
MODERN EYE INC
Doing business as
modern eye
Practice address
145 S 13TH St
Philadelphia, PA 19107-4916
Phone
(215) 922-3300
Fax
(215) 922-0775
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Angelo Anastasiou, O.D.NPI 1962417378
Title
President
Phone
(215) 922-3300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X PA OB008278 PA Primary

Addresses

Primary practice location

145 S 13TH St
Philadelphia, PA 19107-4916

Mailing address

145 S 13TH St
Philadelphia, PA 19107-4916
Phone (215) 922-3300

Other names 1

  • modern eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221209000817 PA Part B Supplier - Clinic/Group Practice 1658740816 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

145 S 13th St
Ste 1
Philadelphia, PA 19107
Phone (215) 922-3300

Practitioners & affiliated clinicians

Practitioners 5

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063423309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074916",
            "telephone_number": "215-922-3300",
            "fax_number": "215-922-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S 13TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074916",
            "telephone_number": "215-922-3300",
            "fax_number": "215-922-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANASTASIOU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-922-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PA OB008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "modern eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.