Organization Active NPI

Myerstown Family Eye Care, Inc.

  • Optometrist
  • Myerstown, PA
National Provider Identifier
1073551743
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG 000422 Issued in PA
Legal business name
MYERSTOWN FAMILY EYE CARE, INC.
Practice address
356 W Main Ave
Myerstown, PA 17067-1023
Phone
(717) 866-1400
Fax
(717) 866-9954
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Michael D Burkhart, O.D.
Title
President
Phone
(717) 866-1400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OEG 000422 PA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X OEG 000422

Addresses

Primary practice location

356 W Main Ave
Myerstown, PA 17067-1023

Mailing address

356 W Main Ave
Myerstown, PA 17067-1023
Phone (717) 866-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1073551743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 W MAIN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671023",
            "telephone_number": "717-866-1400",
            "fax_number": "717-866-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W MAIN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671023",
            "telephone_number": "717-866-1400",
            "fax_number": "717-866-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERSTOWN FAMILY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-866-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 000422",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": "OEG 000422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myerstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.