Organization Active NPI

Templin Eye Care, PC

  • Primary Care Clinic/Center
  • Myerstown, PA
National Provider Identifier
1083932628
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA0007342T Issued in PA
Legal business name
TEMPLIN EYE CARE, PC
Practice address
5 E Lincoln Ave
Myerstown, PA 17067-1108
Phone
(717) 866-2030
Fax
(717) 866-2818
NPI assigned
May 6, 2010
Last updated
May 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Dr. Jean Marie Templin, O.D.NPI 1568442234
Title
Optometrist/President
Phone
(717) 866-2030

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA0007342T PA Primary

Addresses

Primary practice location

5 E Lincoln Ave
Myerstown, PA 17067-1108

Mailing address

5 E Lincoln Ave
Myerstown, PA 17067-1108
Phone (717) 866-2030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000120 PA Part B Supplier - Clinic/Group Practice 4284765967 Receives reassigned benefits from 2 practitioners
Practice locations: Myerstown, PA

National Provider Directory

National Provider Directory

Locations

5 E Lincoln Ave
Myerstown, PA 17067
Phone (717) 866-2030

605 W Lincoln Ave
Myerstown, PA 17067
Phone (717) 866-2030

Practitioners & affiliated clinicians

Practitioners 2

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": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1083932628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671108",
            "telephone_number": "717-866-2030",
            "fax_number": "717-866-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671108",
            "telephone_number": "717-866-2030",
            "fax_number": "717-866-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLIN EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "TEMPLIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "717-866-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "PA0007342T",
            "primary": true
        }
    ],
    "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 May 6, 2010; 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.

Verify at the official NPI Registry.