Individual provider Active NPI

Richard J Vahaly, O.D.

  • Optometrist
  • York, PA
National Provider Identifier
1073509386
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000147 Issued in PA
Practice address
2155 White St
York, PA 17404-4900
Phone
(717) 848-4654
Fax
(717) 747-0123
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000147 PA Primary

Addresses

Primary practice location

2155 White St
York, PA 17404-4900

Mailing address

2155 White St
York, PA 17404-4900
Phone (717) 848-4654

Other identifiers 4

IdentifierTypeStateIssuer
P00173944OtherPARAIL ROAD MEDICARE
448369OtherPABLUE SHIELD
50044541OtherPABLUE CROSS
0165770003OtherPADMERC REGION D

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
I20041220000554 PA Practitioner - Optometry 9335106509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians

Practice addresses (Care Compare)

2155 White St
York, PA 17404-4900
Phone (717) 848-4654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000147PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients

Locations

2791 S Queen St
Dallastown, PA 17313
Phone (717) 741-4788

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

2700 Eastern Blvd
York, PA 17402
Phone (717) 757-7023

2155 White St
York, PA 17404
Phone (717) 848-4654

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: drvahaly@directaddress.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1073509386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WHITE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174044900",
            "telephone_number": "717-848-4654",
            "fax_number": "717-747-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 WHITE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174044900",
            "telephone_number": "717-848-4654",
            "fax_number": "717-747-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHALY",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00173944",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "448369",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50044541",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION D",
            "identifier": "0165770003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.