Active NPI
East Falls Eye Associates, PC
- Corneal and Contact Management Optometrist
- Philadelphia, PA
National Provider Identifier
1083736441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OEG001670
- Legal business name
- EAST FALLS EYE ASSOCIATES, PC
- Practice address
- 4189 Ridge Ave
Philadelphia, PA 19129-1545 - Phone
- (215) 844-2406
- Fax
- (215) 844-6771
- NPI assigned
- Apr 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse A Jones, O.D.
- Title
- President
- Phone
- (215) 844-2406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG001670 | PA | Primary |
Addresses
Primary practice location
4189 Ridge Ave
Philadelphia, PA 19129-1545
Mailing address
4189 Ridge Ave
Philadelphia, PA 19129-1545
Phone (215) 844-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4189 Ridge Ave
Philadelphia, PA 19129
Phone (215) 527-6605
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1922153394
-
- Optometrist
- Mays Landing, NJ
- NPI 1811900202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239062400000",
"number": "1083736441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4189 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291545",
"telephone_number": "215-844-2406",
"fax_number": "215-844-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4189 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291545",
"telephone_number": "215-844-2406",
"fax_number": "215-844-6771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST FALLS EYE ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-05",
"last_updated": "2009-04-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-844-2406",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG001670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.