Individual provider Active NPI

Rushil Brahmbhatt

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1073343521
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004193 Issued in PA
Practice address
854 Plaza Blvd
Lancaster, PA 17601-2738
Phone
(215) 429-7519
NPI assigned
Aug 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004193 PA Primary

Addresses

Primary practice location

854 Plaza Blvd
Lancaster, PA 17601-2738

Mailing address

854 Plaza Blvd
Lancaster, PA 17601-2738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240907000720 PA Practitioner - Optometry 6406396217 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Empire Vision Center, Inc CurrentSince Aug 15, 2024 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Visionworks, Inc CurrentSince Aug 15, 2024 Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

854 Plaza Blvd
Lancaster, PA 17601
Phone (717) 295-3111

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1073343521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012738",
            "telephone_number": "215-429-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "RUSHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.