NPIMap

Organization Active NPI

Delaware Vision Associates Group Practice PA

  • Ophthalmology Physician
  • King of Prussia, PA
National Provider Identifier
1083705230
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DELAWARE VISION ASSOCIATES GROUP PRACTICE PA
Practice address
601 S Henderson Rd
Suite 250
King of Prussia, PA 19406-3596
Phone
(610) 491-2127
Fax
(610) 337-2133
NPI assigned
Sep 27, 2006
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Kim Miller
Title
Billing Manager
Phone
(610) 491-2127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

601 S Henderson Rd
Suite 250
King of Prussia, PA 19406-3596

Mailing address

2060 Limestone Rd
Suite 205
Wilmington, DE 19808-5500
Phone (302) 657-0386

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

300 Delaware Ave
Wilmington, DE 19801
Phone (215) 681-3425

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1083705230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LIMESTONE RD",
            "address_2": "SUITE 205",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085500",
            "telephone_number": "302-657-0386",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S HENDERSON RD",
            "address_2": "SUITE 250",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063596",
            "telephone_number": "610-491-2127",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VISION ASSOCIATES GROUP PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-491-2127"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.