Organization Active NPI

I DO Eyes II, Inc.

Doing business as Sunrise Eye Associates

  • Optometrist
  • Feasterville Trevose, PA
National Provider Identifier
1063520492
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000757 Issued in PA
Legal business name
I DO EYES II, INC.
Doing business as
Sunrise Eye Associates
Practice address
225 Bustleton Pike
Feasterville Trevose, PA 19053-6448
Phone
(215) 355-1300
Fax
(215) 355-8745
NPI assigned
Aug 27, 2006
Last updated
Oct 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. Jeffrey Gold, O.D.NPI 1700991114
Title
Pres.
Phone
(215) 355-1300

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
Optometrist 152W00000X OEG000757 PA Primary

Addresses

Primary practice location

225 Bustleton Pike
Feasterville Trevose, PA 19053-6448

Mailing address

225 Bustleton Pike
Feasterville Trevose, PA 19053-6448
Phone (215) 355-1300

Other identifiers 1

IdentifierTypeStateIssuer
1656123OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Sunrise Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041230000179 PA Part B Supplier - Clinic/Group Practice 6901864487 Receives reassigned benefits from 1 practitioner
Practice locations: Feasterville Trevose, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1063520492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BUSTLETON PIKE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536448",
            "telephone_number": "215-355-1300",
            "fax_number": "215-355-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BUSTLETON PIKE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536448",
            "telephone_number": "215-355-1300",
            "fax_number": "215-355-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I DO EYES II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "215-355-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1656123",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.