Organization Active NPI

Gary and Janice Partnership

Doing business as Springfield Opticians

  • Optician
  • Springfield, PA
National Provider Identifier
1063524015
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
GARY AND JANICE PARTNERSHIP
Doing business as
Springfield Opticians
Practice address
1 N Brookside Rd
Springfield, PA 19064-2527
Phone
(610) 543-9275
Fax
(610) 544-0567
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Janice Samano
Title
Owner/Partner
Phone
(610) 543-9275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1 N Brookside Rd
Springfield, PA 19064-2527

Mailing address

1 N Brookside Rd
Springfield, PA 19064-2527
Phone (610) 543-9275

Other names 1

  • Springfield Opticians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000295 PA Part B Supplier - Clinic/Group Practice 3375674591 Receives reassigned benefits from 3 practitioners
Practice locations: Chadds Ford, PA; Holmes, PA; Springfield, PA

National Provider Directory

National Provider Directory
Tax ID family
Gary and Janice Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 502-5562

2350 Macdade Blvd
Holmes, PA 19043
Phone (610) 461-7353

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1063524015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N BROOKSIDE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642527",
            "telephone_number": "610-543-9275",
            "fax_number": "610-544-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N BROOKSIDE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642527",
            "telephone_number": "610-543-9275",
            "fax_number": "610-544-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY AND JANICE PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "SAMANO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "610-543-9275"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.