Organization Active NPI

GP Eyecare Specialists

  • Optometrist
  • Trevose, PA
National Provider Identifier
1063865053
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002493 Issued in PA
Legal business name
GP EYECARE SPECIALISTS
Practice address
3461 Horizon Blvd
Trevose, PA 19053-4967
Phone
(215) 942-7671
Fax
(215) 942-7673
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Helen Luu, O.D.
Title
Optometrist/Co-Owner
Phone
(215) 488-9030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG002493 PA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG002790 PA

Addresses

Primary practice location

3461 Horizon Blvd
Trevose, PA 19053-4967

Mailing address

3461 Horizon Blvd
Trevose, PA 19053-4967
Phone (215) 942-7671

Other identifiers 1

IdentifierTypeStateIssuer
1026245530001MedicaidPA

National Provider Directory

National Provider Directory

Locations

3461 Horizon Blvd
Trevose, PA 19053
Phone (215) 942-4005

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1063865053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 HORIZON BLVD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534967",
            "telephone_number": "215-942-7671",
            "fax_number": "215-942-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 HORIZON BLVD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534967",
            "telephone_number": "215-942-7671",
            "fax_number": "215-942-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP EYECARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OPTOMETRIST/CO-OWNER",
        "authorized_official_telephone_number": "215-488-9030",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002493",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026245530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.