Organization Active NPI

Main Line Family Eye Care

  • Optometrist
  • Bala Cynwyd, PA
National Provider Identifier
1093438517
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAIN LINE FAMILY EYE CARE
Practice address
139 Montgomery Ave
Bala Cynwyd, PA 19004-2821
Phone
(610) 973-7112
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Uriel Schechter, O.D.NPI 1144604380
Title
Sole Member
Phone
(551) 206-3795

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

139 Montgomery Ave
Bala Cynwyd, PA 19004-2821

Mailing address

18 Bryn Mawr Ave
Bala Cynwyd, PA 19004-3151
Phone (215) 745-0993

Other identifiers 1

IdentifierTypeStateIssuer
1030535100002MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809002556 PA Part B Supplier - Clinic/Group Practice 8527420447 Receives reassigned benefits from 2 practitioners
Practice locations: Bala Cynwyd, PA

National Provider Directory

National Provider Directory

Locations

139 Montgomery Ave
Frnt A
Bala Cynwyd, PA 19004
Phone (610) 973-7112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1093438517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BRYN MAWR AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043151",
            "telephone_number": "215-745-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MONTGOMERY AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042821",
            "telephone_number": "610-973-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "SCHECHTER",
        "authorized_official_first_name": "URIEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "551-206-3795",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030535100002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.